RONALD EARHART P.T.
NPI 1104080118
Physical Therapist - Orthopedic in Flagstaff, AZ

Active since July 18, 2008
77 W FOREST AVE, 301, FLAGSTAFF, AZ 86001(928) 214-2836(928) 214-2837 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ronald Earhart P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD EARHART P.T. (NPI 1104080118) is an individual orthopedic provider in Flagstaff, Arizona, licensed in Arizona (5294) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1104080118
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameRONALD EARHARTCredential: P.T.
Location Address77 W FOREST AVE, 301Flagstaff, AZ 86001-1479
Mailing Address657 E Cottonwood St, Ste 3dCottonwood, AZ 86326-4407 · (928) 214-2836 · Fax (928) 214-2837
Fax(928) 214-2837
Sole ProprietorNo
Enumeration DateJuly 18, 2008
Last NPPES UpdateMarch 27, 2021
NPPES CertifiedMarch 27, 2021
NPI 1104080118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in AZ · 5294
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License 5294 (AZ)
77 W FOREST AVE, Flagstaff, AZ 86001

Other Identifiers 1

Medicaid825458AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
77 W FOREST AVE, SUITE 201
FLAGSTAFF, AZ 86001
Nurse Practitioner (Family)
77 W FOREST AVE, SUITE 301
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Anesthesiology
77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001
Internal Medicine (Cardiovascular Disease)
77 W FOREST AVE, SUITE 302
FLAGSTAFF, AZ 86001
Anesthesiology
77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Earhart's NPI number?

The NPI number for Ronald Earhart is 1104080118. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Ronald Earhart located?

Ronald Earhart practices at 77 W Forest Ave 301, Flagstaff, AZ 86001. The listed phone number is (928) 214-2836.

What is Ronald Earhart's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Ronald Earhart was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.