Active Abilities LLC
Organization Active NPI Physical Therapist · Sterling, AK
NPI 1003044009 · NPPES record last updated Mar 23, 2016
Key facts
- NPI
- 1003044009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 833 (AK)
- Legal business name
- ACTIVE ABILITIES LLC
- Practice address
- 33455 Sterling Highway
Sterling, AK 99672-1118 - Phone
- (907) 262-7748
- Fax
- (907) 262-7749
- NPI assigned
- Jun 29, 2009
- Organization subpart
- No
Authorized official
- Name
- Ms. Tina Elaine McLean, PHYSICAL THERAPIST
- Title
- Owner/Sole Member
- Phone
- (907) 262-7748
Practitioners 2
National Provider Directory
Locations
203 W 15th Ave
Ste 203
Anchorage, AK 99501
Phone (907) 278-8787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 833 | AK | Yes |
Addresses
Primary practice location
33455 Sterling Highway
Sterling, AK 99672-1118
Mailing address
PO Box 1118
Sterling, AK 99672-1118
Phone (907) 262-7748
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021297 | Medicaid | AK |
Other names
- Active Abilities Physical Therapy
Other providers in Sterling, AK
- Robin Rene Evans
- Freedom Estate Assisted Living LLC
- Health North Family Medicine LLC
- Jamie Panzero
- Job Ready, Inc D.B.a Ready Care
All providers in Sterling, AK · Physical Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.