Healthcare Provider Details

I. General information

NPI: 1487313441
Provider Name (Legal Business Name): VICTORIA TALITHA GERY PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 S IDAHO RD STE 210
APACHE JUNCTION AZ
85119-6405
US

IV. Provider business mailing address

834 E HIGH ST
POTTSTOWN PA
19464-5731
US

V. Phone/Fax

Practice location:
  • Phone: 480-983-0877
  • Fax: 480-983-3172
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number20543
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT030030
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP051277T
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: