Individual provider Active NPI

Rebecca Rose Tamaki, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1063661858
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1971 Issued in AK
Practice address
3801 University Lake Drive
Suite 300
Anchorage, AK 99508
Phone
(907) 561-8681
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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 1971 AK Primary

Addresses

Primary practice location

3801 University Lake Drive
Suite 300
Anchorage, AK 99508

Mailing address

5039 Chess Dr
Anchorage, AK 99508-5632
Phone (907) 563-4115

Other names 1

  • Rebecca Rose Redel Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000111 AK Practitioner - Physical Therapist in Private Practice 9436203346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

4100 Lake Otis Pkwy
Anchorage, AK 99508-5230
Phone (907) 563-4115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1971AKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Matt a. Heilala, DPM Inc. CurrentSince Feb 17, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Mar 30, 2026 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Mar 30, 2026 Accepting new patients
Matt a. Heilala, DPM Inc. CurrentSince Feb 17, 2022 Accepting new patients
Better Health Pain & Wellness Center LLC PastSince Mar 24, 2011 Accepting new patients
Cable & McCormick Apc PastSince Jul 2, 2014 Accepting new patients
Better Health Alaska PastSince May 8, 2022 Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 106
Anchorage, AK 99508
Phone (907) 550-6180

2250 E 42nd Ave
#200
Anchorage, AK 99508
Phone (907) 569-3668

3190 E Meridian Park Loop
Ste 205
Wasilla, AK 99654
Phone (907) 373-3338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21331/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1063661858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 CHESS DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085632",
            "telephone_number": "907-563-4115",
            "fax_number": "907-563-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DRIVE",
            "address_2": "SUITE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAKI",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "REDEL",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 15, 2014; 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.