Individual provider Active NPI

Vincent Keith Maurer, PT

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1821262338
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32092 Issued in AZ
Practice address
2467 W Pikes Peak Dr
Flagstaff, AZ 86001-2673
Phone
(206) 719-1361
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32092 AZ Primary

Addresses

Primary practice location

2467 W Pikes Peak Dr
Flagstaff, AZ 86001-2673

Mailing address

2467 W Pikes Peak Dr
Flagstaff, AZ 86001-2673

Other practice location 1

7810 N US Highway 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

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
32092AZMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1821262338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2467 W PIKES PEAK DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2467 W PIKES PEAK DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012673",
            "telephone_number": "206-719-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7810 N US Highway 89",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860046255",
            "country_code": "US",
            "telephone_number": "928-522-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURER",
        "first_name": "VINCENT",
        "middle_name": "KEITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32092",
            "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 Dec 4, 2023; 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.