Individual provider Active NPI

Jannine T. Geist, PT

  • Physical Therapy Clinic/Center
  • Fort Lupton, CO
National Provider Identifier
1417959636
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Practice address
1111 1St St
Fort Lupton, CO 80621-1702
Phone
(303) 833-2332
Fax
(206) 338-3137
NPI assigned
Jun 1, 2005
Last updated
May 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4753 CO
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1111 1St St
Fort Lupton, CO 80621-1702

Mailing address

1111 1St St
Fort Lupton, CO 80621-1702
Phone (303) 833-2332

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4753COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Metro Family Medicine Physical Therapy Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1417959636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 1ST ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211702",
            "telephone_number": "303-833-2332",
            "fax_number": "206-338-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 1ST ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211702",
            "telephone_number": "303-833-2332",
            "fax_number": "206-338-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIST",
        "first_name": "JANNINE",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4753",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lupton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.