Active NPI
Gail Leslie Hartwig, PT
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1871779603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2257
- Practice address
- 508 W Trilby Rd
Fort Collins, CO 80525-4054 - Phone
- (970) 226-4909
- NPI assigned
- Jan 10, 2008
- Last updated
- Jan 10, 2008
- 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 | 2257 | CO | Primary |
Addresses
Primary practice location
508 W Trilby Rd
Fort Collins, CO 80525-4054
Mailing address
609 Candice CT
Berthoud, CO 80513-9436
Phone (970) 532-2578
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2257 | CO | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1871779603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 CANDICE CT",
"city": "BERTHOUD",
"state": "CO",
"postal_code": "805139436",
"telephone_number": "970-532-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 W TRILBY RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254054",
"telephone_number": "970-226-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTWIG",
"first_name": "GAIL",
"middle_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.