Jannine T. Geist, PT

Individual provider Active NPI Physical Therapy Clinic/Center · Fort Lupton, CO

NPI 1417959636 · NPPES record last updated May 13, 2016

Key facts

NPI
1417959636
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Practice address
1111 1St St
Fort Lupton, CO 80621-1702
Phone
(303) 833-2332
Fax
(206) 338-3137
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4753COMDPhysical Therapist

Practice roles

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

Specialties & licenses

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

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

Other providers in Fort Lupton, CO

All providers in Fort Lupton, CO · Physical Therapy Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.