Phyllis Ploudre, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1529 Issued in AK

Practice address

1343 G St
Suite 100
Anchorage, AK 99501-4354

Phone

(907) 748-0022

Fax

(907) 277-0022

NPI assigned

Mar 25, 2007

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progressive Physical Therapy

  • Physical Therapist
  • Anchorage, AK
  • NPI 1780901793
  NPD (past)
• United Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1609888130
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1134246945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91292",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995091292",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 G ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995014354",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOUDRE",
        "first_name": "PHYLLIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER",
            "identifier": "1780901793",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Platinum Medical Club
• Guerin Platte, MSW
• Pleasant Valley Assisted Living Home, LLC.
• Kelly Barbara Pless, L.E.
• Becky Pletzer, LCSW
• Phillip Michael Plourde, DMD
• Angela Jean Plucker, LPC
• Shelly Plumb
• Patrick Aaron Plunkett, MD
• PM Pediatrics of Alaska (Alaska Pediatrics Night Clinic)

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.