Healthcare Provider Details

I. General information

NPI: 1952351108
Provider Name (Legal Business Name): GERALD THOMAS MCGINTY DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4102 PINION DR
USAF ACADEMY CO
80840-2502
US

IV. Provider business mailing address

16436 CORKBARK TER
MONUMENT CO
80132-6156
US

V. Phone/Fax

Practice location:
  • Phone: 713-640-8186
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPTL.0005129
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: