Organization Active NPI

Flagstaff Center for Bone and Joint Disorders

Doing business as Flagstaff Bone and Joint

  • Orthopedic Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1356653000
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5539 Issued in AZ
Legal business name
FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS
Doing business as
Flagstaff Bone and Joint
Practice address
525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone
(928) 214-2836
Fax
(928) 214-2837
NPI assigned
Jul 10, 2010
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Kerri Harlan
Title
Chief Operations Officer
Phone
(928) 773-2538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5539 AZ Primary

Addresses

Primary practice location

525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845

Mailing address

525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone (928) 773-2280

Other identifiers 1

IdentifierTypeStateIssuer
5539OtherAZSTATE LICENSE

Other names 1

  • Flagstaff Bone and Joint Doing business as

National Provider Directory

National Provider Directory

Locations

77 W Forest Ave
Ste 301
Flagstaff, AZ 86001
Phone (928) 635-7307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1356653000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014845",
            "telephone_number": "928-773-2280",
            "fax_number": "928-773-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014845",
            "telephone_number": "928-214-2836",
            "fax_number": "928-214-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTAFF CENTER FOR BONE AND JOINT DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "928-773-2538"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "5539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5539",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagstaff Bone and Joint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flagstaff Bone and Joint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 30, 2024; 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.