Individual provider Active NPI

Zoe Anneliese Morris Nelson, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1003433962
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
157552 Issued in AK
Practice address
1917 Abbott Rd Ste 200
Anchorage, AK 99507-3449
Phone
(907) 279-4266
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 157552 AK Primary

Addresses

Primary practice location

1917 Abbott Rd Ste 200
Anchorage, AK 99507-3449

Mailing address

3165 Dove LN
Palmer, AK 99645-9638
Phone (907) 795-2197

Other identifiers 1

IdentifierTypeStateIssuer
157552OtherAKPHYSICAL THERAPY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AdvancedMD Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731002119 AK Practitioner - Physical Therapist in Private Practice 6002231479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arctic Chiropractic East Mat-Su LLCGroup PAC ID 5193001600, 8 clinicians

Practice addresses (Care Compare)

1734 N Prospect Dr
Palmer, AK 99645-9655
Phone (907) 746-7842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Apr 30, 2020 Accepting new patients
Arctic Medical Center Matsu CurrentSince Jun 15, 2024 Accepting new patients
Arctic Chiropractic East Mat-Su LLC Physical Therapist CurrentSince Jun 15, 2024 Accepting new patients
Arctic Rehabilitation and Physical Therapy Anchorage LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

5701 Lake Otis Pkwy
Ste 100
Anchorage, AK 99507
Phone (907) 227-3422

1150 S Colony Way
Ste 3
Palmer, AK 99645

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1003433962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 DOVE LN",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459638",
            "telephone_number": "907-795-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 ABBOTT RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073449",
            "telephone_number": "907-279-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ZOE",
        "middle_name": "ANNELIESE MORRIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "157552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "157552",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AdvancedMD",
            "affiliation": "N",
            "endpointDescription": "Messaging system through EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1917 Abbott Rd Ste 200",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995073449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.