Organization Active NPI

Kingdom Wellness PT

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1619801214
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KINGDOM WELLNESS PT
Practice address
4936 S Pyrite Rd
Flagstaff, AZ 86005-7095
Phone
(480) 625-5890
Fax
(480) 625-5890
NPI assigned
Jun 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Dr. Jennifer Schreiber, PT
Title
Owner
Phone
(480) 625-5890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4936 S Pyrite Rd
Flagstaff, AZ 86005-7095

Mailing address

4936 S Pyrite Rd
Flagstaff, AZ 86005-7095
Phone (480) 625-5890

Other practice location 1

1016 W University Ave
Flagstaff, AZ 86001-2994
Phone (480) 625-5890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1619801214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 S PYRITE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860057095",
            "telephone_number": "480-625-5890",
            "fax_number": "480-625-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 S PYRITE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860057095",
            "telephone_number": "480-625-5890",
            "fax_number": "480-625-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 W University Ave",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860012994",
            "country_code": "US",
            "telephone_number": "480-625-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGDOM WELLNESS PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-625-5890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "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 Jun 9, 2026; 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.