Active NPI
Julie A Degeyter, PT, DPT
- Physical Therapist
- Flagstaff, AZ
National Provider Identifier
1861839219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10300
- Practice address
- 77 W Forest Ave Ste 301
Flagstaff, AZ 86001-1483 - Phone
- (282) 136-2299
- Fax
- (928) 773-2126
- NPI assigned
- May 24, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10300 | AZ | Primary |
Addresses
Primary practice location
77 W Forest Ave Ste 301
Flagstaff, AZ 86001-1483
Mailing address
77 W Forest Ave Ste 301
Flagstaff, AZ 86001-1483
Phone (928) 213-6229
Other names 1
- Julie A Wright
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10300 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1861839219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 301",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011483",
"telephone_number": "928-213-6229",
"fax_number": "928-773-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 301",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011483",
"telephone_number": "282-136-2299",
"fax_number": "928-773-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGEYTER",
"first_name": "JULIE",
"middle_name": "A",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "WRIGHT",
"middle_name": "A",
"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 Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.