Geraldine G Fahrenbrook, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4360 Issued in CO

Practice address

9830 I-70 Frontage Road South
Wheat Ridge, CO 80033-1724

Phone

(303) 467-4100

Fax

(303) 420-0836

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1134450778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 I-70 FRONTAGE ROAD SOUTH",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331724",
            "telephone_number": "303-467-4100",
            "fax_number": "303-420-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 I-70 FRONTAGE ROAD SOUTH",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331724",
            "telephone_number": "303-467-4100",
            "fax_number": "303-420-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRENBROOK",
        "first_name": "GERALDINE",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT4360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54074223",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.