Active NPI
Cathron Donaldson, PT
- Pediatric Physical Therapist
- Flagstaff, AZ
National Provider Identifier
1114259785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 13342
- Practice address
- 912 Riordan Rd.
Nau Institute for Human Development
Flagstaff, AZ 86011-5630 - Phone
- (928) 523-1695
- NPI assigned
- Feb 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 13342 | AZ | Primary |
| Physical Therapist | 225100000X | 8930 | NC |
Addresses
Primary practice location
912 Riordan Rd.
Nau Institute for Human Development
Flagstaff, AZ 86011-5630
Mailing address
3905 E Bottlebrush Dr
Flagstaff, AZ 86004-7621
Phone (928) 514-6397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13342 | AZ | MD | Pediatric Physical Therapist |
| 8930 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1114259785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 E BOTTLEBRUSH DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047621",
"telephone_number": "928-514-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 RIORDAN RD.",
"address_2": "NAU INSTITUTE FOR HUMAN DEVELOPMENT",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860115630",
"telephone_number": "928-523-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "CATHRON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "13342",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.