Individual provider Active NPI

Taylor Midgette Lamade, DPT, PT

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1033969803
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
219881 Issued in AK
Practice address
984 N Meridian PL
Wasilla, AK 99654-7215
Phone
(907) 631-4029
Fax
(907) 631-4128
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 219881 AK Primary

Addresses

Primary practice location

984 N Meridian PL
Wasilla, AK 99654-7215

Mailing address

984 N Meridian PL
Wasilla, AK 99654-7215
Phone (907) 631-4029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403003872 AK Practitioner - Physical Therapist in Private Practice 2264870625 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Northern Edge Physical Therapy Limited Partnership Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

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

984 N Meridian Pl
Wasilla, AK 99654
Phone (907) 631-4029

Organizations & group practices 2

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1033969803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 N MERIDIAN PL",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547215",
            "telephone_number": "907-631-4029",
            "fax_number": "907-631-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N MERIDIAN PL",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547215",
            "telephone_number": "907-631-4029",
            "fax_number": "907-631-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMADE",
        "first_name": "TAYLOR",
        "middle_name": "MIDGETTE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "219881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.