Active NPI
Karen J Gehlert
- Physical Therapist
- Queen Creek, AZ
National Provider Identifier
1205440336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1830
- Practice address
- 20522 E Superstition Dr
Queen Creek, AZ 85142-9763 - Phone
- (602) 421-7718
- Fax
- (480) 240-1290
- NPI assigned
- Sep 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1830 | AZ | Primary |
Addresses
Primary practice location
20522 E Superstition Dr
Queen Creek, AZ 85142-9763
Mailing address
PO Box 51742
Mesa, AZ 85208-0088
Phone (920) 540-5266
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 |
|---|---|---|---|
| 1830 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599264000000",
"number": "1205440336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51742",
"city": "MESA",
"state": "AZ",
"postal_code": "852080088",
"telephone_number": "920-540-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20522 E SUPERSTITION DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851429763",
"telephone_number": "602-421-7718",
"fax_number": "480-240-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHLERT",
"first_name": "KAREN",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-05",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "1830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.