Alaska Therapeutic & Aquatic Specialists LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

737 Issued in AK

Legal business name

ALASKA THERAPEUTIC & AQUATIC SPECIALISTS LLC

Practice address

4800 Ridge Top Cir
Anchorage, AK 99508-3793

Phone

(907) 310-2290

Fax

(907) 522-5144

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juliet M Tardy, PTNPI 1720194988

Title

Owner/Manager

Phone

(907) 310-2290

Specialties & licenses 1

Addresses

Other names 1

• ATAS Other name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliet M Tardy

  • Physical Therapist
  • Anchorage, AK
  • NPI 1720194988
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1083967822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 RIDGE TOP CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083793",
            "telephone_number": "907-310-2290",
            "fax_number": "907-522-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 RIDGE TOP CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083793",
            "telephone_number": "907-310-2290",
            "fax_number": "907-522-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA THERAPEUTIC & AQUATIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "TARDY",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "907-310-2290",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alaska Surgical Arts PC
• Alaska Surgical Group, LLC
• Alaska Surgical Hospitalists
• Alaska Surgical Oncology LLC
• Alaska Telepsychology
• Alaska Toxicology, LLC
• Alaska Trauma & Acute Care Surgery, LLC
• Alaska Travel Source
• Alaska Treatment Center R&D
• Alaska Tree House LLC (Tree House View II)

• Physical Therapy Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.