Kerry Ann Golden, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002572 Issued in AZ

Practice address

1485 N Turquoise Dr Ste 220
Flagstaff, AZ 86001-2000

Phone

(928) 774-6626

NPI assigned

Aug 26, 2021

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Flagstaff Center for Bone and Joint DisordersGroup PAC ID 3072411180, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kerry.golden.1@15940.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flagstaff Center for Bone and Joint Disorders

  • Orthopaedic Surgery Physician
  • Flagstaff, AZ
  • NPI 1205865169
  Medicare reassignment Care Compare group NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1093681033
  NPD (past)
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Payson, AZ
  • NPI 1497222632
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1285301218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26444",
            "city": "MUNDS PARK",
            "state": "AZ",
            "postal_code": "860176444",
            "telephone_number": "520-981-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DR STE 220",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012000",
            "telephone_number": "928-774-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "002572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Fe Gloria
• Jennifer Glover, CRT
• Lenore A Goetzke, RPH
• Danielle Goldberg
• Ruth Goldberg, CNM
• Karen Golowenski, RN
• Patricia Ann Golson, LMT
• Christopher Luis Gomez, APRN
• Thelma Gomez
• Denise Ann Gomolak, N.P.

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.