Active NPI
Helen-Marie Holmgren, P.T.
- Physical Therapist
- Flagstaff, AZ
National Provider Identifier
1407927163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1224
- Practice address
- 380 E Hutcheson Dr
Flagstaff, AZ 86001-3270 - Phone
- (928) 779-0673
- Fax
- (928) 779-0673
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 8, 2007
- 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 | 1224 | AZ | Primary |
Addresses
Primary practice location
380 E Hutcheson Dr
Flagstaff, AZ 86001-3270
Mailing address
PO Box 23375
Flagstaff, AZ 86002-3375
Phone (928) 779-0673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0295140 | Other | AZ | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 1224 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407927163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23375",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860023375",
"telephone_number": "928-779-0673",
"fax_number": "928-779-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E HUTCHESON DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013270",
"telephone_number": "928-779-0673",
"fax_number": "928-779-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMGREN",
"first_name": "HELEN-MARIE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "1224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0295140",
"state": "AZ"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.