Enc Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENC PHYSICAL THERAPY LLC

Practice address

223 Blackberry Street
Unit a
Bethel, AK 99559

Phone

(907) 545-2774

NPI assigned

May 7, 2020

Last updated

Sep 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eliza Nicolas Caguioa, DPT

Title

Physical Therapist, Owner

Phone

(907) 545-2774

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1003438508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2352",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995592352",
            "telephone_number": "907-545-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 BLACKBERRY STREET",
            "address_2": "UNIT A",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "907-545-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hoffman Road",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "AK",
            "postal_code": "995592352",
            "country_code": "US",
            "telephone_number": "907-545-2774",
            "fax_number": "907-802-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "CAGUIOA",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_middle_name": "NICOLAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "907-545-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timantha Ekamrak
• Twyla Elhardt, FNP
• Miranda Elliott, LMT
• John Ellis
• Eliza Caguioa Ellsworth, DPT
• Carrie Carl Enoch
• Charles David Enoch
• Kathleen M Enoch
• Helen Epchook
• Rachel Epchook

• Physical Therapist in Bethel, AK
• Providers in Bethel, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.