Active NPI
Colleen Gest, P.T.
- Physical Therapist
- Flagstaff, AZ
National Provider Identifier
1609007111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8577
- Practice address
- 403 W Birch Ave
# 1
Flagstaff, AZ 86001-4467 - Phone
- (928) 925-8146
- Fax
- (928) 216-4073
- NPI assigned
- Jul 31, 2009
- Sex
- Female
- Sole proprietor
- No
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 | LPT-008577 | AZ | |
| Physical Therapist | 225100000X | 8577 | AZ | Primary |
Addresses
Primary practice location
403 W Birch Ave
# 1
Flagstaff, AZ 86001-4467
Mailing address
756 W Cattle Drive TRL
Flagstaff, AZ 86005-6970
Phone (928) 925-8146
Other names 1
- Colleen Morris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
403 W Birch Ave
Flagstaff, AZ 86001-4467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8577 | AZ | MD | Nutrition Chiropractor |
| LPT-008577 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
403 W Birch Ave
Flagstaff, AZ 86001
Phone (928) 774-1926
403 W Birch Ave
Ste 1
Flagstaff, AZ 86001
403 W Birch Ave
#1
Flagstaff, AZ 86001
Phone (928) 925-8146
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.
-
- Physical Therapy Clinic/Center
- Flagstaff, AZ
- NPI 1134793730
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1609007111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 W CATTLE DRIVE TRL",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860056970",
"telephone_number": "928-925-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W BIRCH AVE",
"address_2": "# 1",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014467",
"telephone_number": "928-925-8146",
"fax_number": "928-216-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEST",
"first_name": "COLLEEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2021-07-25",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-008577",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "MORRIS",
"code": "1",
"type": "Former Name"
}
]
}
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 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.