Iris Page Fourmont

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

176208 Issued in AK

Practice address

1755 Richardson Hwy
Delta Junction, AK 99737

Phone

(907) 895-5055

NPI assigned

Dec 7, 2021

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Arctic Chiropractic Delta

  • Chiropractor
  • Delta Junction, AK
  • NPI 1588939193
  NPD
• Arctic Physical Therapy and Rehabilitation Delta Junction LLC

  • Physical Therapist
  • Delta Junction, AK
  • NPI 1598186769
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1144988155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1294",
            "city": "DELTA JCT",
            "state": "AK",
            "postal_code": "997371294",
            "telephone_number": "907-750-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 RICHARDSON HWY",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "99737",
            "telephone_number": "907-895-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURMONT",
        "first_name": "IRIS",
        "middle_name": "PAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "176208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Medical Transport LLC
• Whitney Renee Deluna, FNP-C
• Victor Downing
• Family Medical Center (Ray Andreassen DO)
• Family Medical Center, Inc.
• Jonathan G Fraley, PA
• Patricia C Gilson
• Cara Grace
• Hats of Wisdom
• Amanda Hernandez Claudio

• Massage Therapist in Delta Junction, AK
• Providers in Delta Junction, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.