Individual provider Active NPI

Megan Dary Von Gerichten, DPT

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1568987733
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
710 N Beaver St BLDG 6
Flagstaff, AZ 86001-3148
Phone
(928) 213-9730
Fax
(928) 213-9732
NPI assigned
Aug 9, 2017
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 13202 AZ
Physical Therapist 225100000X AZ Primary

Addresses

Primary practice location

710 N Beaver St BLDG 6
Flagstaff, AZ 86001-3148

Mailing address

710 N Beaver St BLDG 6
Flagstaff, AZ 86001-3148
Phone (928) 213-9730

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
13202AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Body Works Wellness and Physical Therapy, PLLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Northland-Rural Therapy Associates, LLC Physical Therapist PastSince Jan 1, 2013 Accepting new patients

Locations

222 E Birch Ave
Ste 2
Flagstaff, AZ 86001
Phone (928) 213-9730

710 N Beaver St
Bldg 6
Flagstaff, AZ 86001
Phone (928) 213-9730

Organizations & group practices 2

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1568987733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST BLDG 6",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013148",
            "telephone_number": "928-213-9730",
            "fax_number": "928-213-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N BEAVER ST BLDG 6",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013148",
            "telephone_number": "928-213-9730",
            "fax_number": "928-213-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON GERICHTEN",
        "first_name": "MEGAN",
        "middle_name": "DARY",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13202",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2021; 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.