Individual provider Active NPI

Harold W Egbert, PT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1063424513
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
AA203 Issued in AK
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

Updated by the provider on Jan 8, 2008

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 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

IdentifierTypeStateIssuer
PT9962MedicaidAK

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

LicenseStateTypeSpecialty
AA203AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Physical Therapy, LLC Physical Therapist CurrentSince Mar 27, 1997 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.

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.

Verify at the official NPI Registry.