Active NPI
Elaine Marie Hedden, MSPT
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1043342264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1418
- Practice address
- 2740 Lake Otis Pkwy
Anchorage, AK 99508-4141 - Phone
- (907) 743-3333
- Fax
- (907) 272-8164
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1418 | AK | Primary |
Addresses
Primary practice location
2740 Lake Otis Pkwy
Anchorage, AK 99508-4141
Mailing address
11401 Old Glenn Hwy Ste 101B
Eagle River, AK 99577-7747
Phone (907) 230-1360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1418 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chugach Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Anchorage, AK
- NPI 1932140308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043342264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 OLD GLENN HWY STE 101B",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777747",
"telephone_number": "907-230-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 LAKE OTIS PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084141",
"telephone_number": "907-743-3333",
"fax_number": "907-272-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDDEN",
"first_name": "ELAINE",
"middle_name": "MARIE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "1418",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.