Active NPI
Harold W Egbert, PT
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1063424513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- AA203
- Practice address
- 701 Sesame St Ste 101
Anchorage, AK 99503-6647 - Phone
- (907) 561-2260
- Fax
- (907) 561-0448
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- 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 | AA203 | AK | Primary |
Addresses
Primary practice location
701 Sesame St Ste 101
Anchorage, AK 99503-6647
Mailing address
701 Sesame St Ste 101
Anchorage, AK 99503-6647
Phone (907) 561-2260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT9962 | Medicaid | AK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA203 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
742 K St
Anchorage, AK 99501
Phone (907) 929-8400
701 Sesame St
Ste 101
Anchorage, AK 99503
Phone (907) 561-0448
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 1609888130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1063424513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SESAME ST STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995036647",
"telephone_number": "907-561-2260",
"fax_number": "907-561-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SESAME ST STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995036647",
"telephone_number": "907-561-2260",
"fax_number": "907-561-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGBERT",
"first_name": "HAROLD",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "AA203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT9962",
"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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.