Organization Active NPI

Arctic Rehabilitation and Physical Therapy Anchorage LLC

  • Rehabilitation Chiropractor
  • Anchorage, AK
National Provider Identifier
1013344670
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2632 Issued in AK
Legal business name
ARCTIC REHABILITATION AND PHYSICAL THERAPY ANCHORAGE LLC
Practice address
5701 Lake Otis Pkwy
Suite 100
Anchorage, AK 99507-1701
Phone
(907) 277-3422
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Lori Ann Stone
Title
Office Manager
Phone
(907) 982-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 2632 AK Primary

Addresses

Primary practice location

5701 Lake Otis Pkwy
Suite 100
Anchorage, AK 99507-1701

Mailing address

1150 S Colony Way Ste 3 PMB 226
Palmer, AK 99645
Phone (907) 982-3000

Other identifiers 1

IdentifierTypeStateIssuer
2632OtherAKBUISNESS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141230002655 AK Part B Supplier - Clinic/Group Practice 4981927738 Receives reassigned benefits from 7 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1013344670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY STE 3 PMB 226",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-982-3000",
            "fax_number": "208-457-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 LAKE OTIS PKWY",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071701",
            "telephone_number": "907-277-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC REHABILITATION AND PHYSICAL THERAPY ANCHORAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-982-3000"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AK",
            "license": "2632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUISNESS LICENSE",
            "identifier": "2632",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "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 Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.