Individual provider Active NPI

Jirene Lacorte, PT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1023803079
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
207746 Issued in AK
Practice address
4100 Lake Otis Pkwy Ste 220
Anchorage, AK 99508-5230
Phone
(907) 563-3145
NPI assigned
Apr 10, 2025
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 207746 AK Primary

Addresses

Primary practice location

4100 Lake Otis Pkwy Ste 220
Anchorage, AK 99508-5230

Mailing address

3001 E 42ND Ave Apt 105
Anchorage, AK 99508-5378
Phone (907) 793-0377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515002825 AK Practitioner - Physical Therapist in Private Practice 5193243939 Reassigns benefits to 2 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
Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians
Anchorage Fracture and Orthopaedic Clinic PCGroup PAC ID 7517914187, 33 clinicians

Practice addresses (Care Compare)

17025 Snowmobile LN
Eagle River, AK 99577-7044
Phone (907) 694-9553

4100 Lake Otis Pkwy
Anchorage, AK 99508-5230
Phone (907) 563-3145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
207746AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Nov 1, 2025 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince May 12, 2025 Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Nov 1, 2025 Accepting new patients
Medical Network of Alaska, LLC CurrentSince May 12, 2025 Accepting new patients

Locations

12350 Industry Way
Ste 110
Anchorage, AK 99515
Phone (907) 206-9114

4100 Lake Otis Pkwy
Ste 108
Anchorage, AK 99508
Phone (907) 339-2455

4100 Lake Otis Pkwy
Ste 220
Anchorage, AK 99508
Phone (907) 261-7111

17025 Snowmobile Ln
Eagle River, AK 99577
Phone (907) 694-9553

17025 Snowmobile Ln
Ste 102
Eagle River, AK 99577
Phone (907) 357-2800

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

Interoperability endpoints

  • Direct secure messaging: jirene.lacorte.1@27294.direct.athenahealth.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1023803079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E 42ND AVE APT 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085378",
            "telephone_number": "907-793-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-563-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACORTE",
        "first_name": "JIRENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "207746",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 10, 2025; 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.