Active NPI
Jannine T. Geist, PT
- Physical Therapy Clinic/Center
- Fort Lupton, CO
National Provider Identifier
1417959636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4753 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.