NPIMap

Organization Active NPI

Alaskan Physical Therapy, Inc

  • Physical Therapist
  • Soldotna, AK
National Provider Identifier
1124136023
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
229 Issued in AK
Legal business name
ALASKAN PHYSICAL THERAPY, INC
Practice address
36275 Kenai Spur Hwy
Suite 5
Soldotna, AK 99669-7106
Phone
(907) 260-2679
Fax
(907) 260-2676
NPI assigned
Aug 29, 2006
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Jill Skidmore-Erickson, PTNPI 1952419798
Title
Physical Therapist-Owner/Administra
Phone
(907) 260-2679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 229 AK Primary

Addresses

Primary practice location

36275 Kenai Spur Hwy
Suite 5
Soldotna, AK 99669-7106

Mailing address

36275 Kenai Spur Hwy
Suite 5
Soldotna, AK 99669-7106
Phone (907) 260-2679

Other identifiers 2

IdentifierTypeStateIssuer
PT0754MedicaidAK
MS0754OtherAKMEDICAID-DURABLE

National Provider Directory

National Provider Directory

Locations

36275 Kenai Spur Hwy
Ste 5
Soldotna, AK 99669
Phone (907) 260-2679

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1124136023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36275 KENAI SPUR HWY",
            "address_2": "SUITE 5",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697106",
            "telephone_number": "907-260-2679",
            "fax_number": "907-260-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36275 KENAI SPUR HWY",
            "address_2": "SUITE 5",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697106",
            "telephone_number": "907-260-2679",
            "fax_number": "907-260-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKAN PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE-ERICKSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST-OWNER/ADMINISTRA",
        "authorized_official_telephone_number": "907-260-2679",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0754",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-DURABLE",
            "identifier": "MS0754",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.