Active NPI
Timothy Stevenson, DPT
- Physical Therapist
- North Pole, AK
National Provider Identifier
1083035604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 544
- Practice address
- 157 Lewis St
North Pole, AK 99705-7699 - Phone
- (907) 488-4978
- Fax
- (907) 488-4976
- NPI assigned
- Dec 27, 2013
- Last updated
- Dec 27, 2013
- 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 | 544 | AK | Primary |
Addresses
Primary practice location
157 Lewis St
North Pole, AK 99705-7699
Mailing address
157 Lewis St
North Pole, AK 99705-7699
Phone (907) 488-4978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544 | Other | AK | STATE LICENSE |
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 |
|---|---|---|---|
| 544 | AK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388102400000",
"number": "1083035604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 LEWIS ST",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "997057699",
"telephone_number": "907-488-4978",
"fax_number": "907-488-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 LEWIS ST",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "997057699",
"telephone_number": "907-488-4978",
"fax_number": "907-488-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "TIMOTHY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-27",
"last_updated": "2013-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "544",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Pole, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.