Mary Ann Ghosn, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1600 Issued in AK

Practice address

2804 W Northern Lights Blvd Ste 190
Anchorage, AK 99517-3300

Phone

(907) 231-5631

Fax

(907) 929-3931

NPI assigned

Jan 5, 2007

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)

Enrolled

State licenses

Practice roles

Locations

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

• Community Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Anchorage, AK
  • NPI 1700445061
  NPD Authorized official
• Mind, Body, Soul

  • Physical Therapist
  • Eagle River, AK
  • NPI 1780960229
  NPD (past)
• RPM Rehab, Inc

  • Massage Therapist
  • Yakima, WA
  • NPI 1316903123

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1164570479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91705",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995091705",
            "telephone_number": "907-231-5631",
            "fax_number": "907-929-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 W NORTHERN LIGHTS BLVD STE 190",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173300",
            "telephone_number": "907-231-5631",
            "fax_number": "907-929-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PT1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindie J Getty
• Arthur Paul Geuss Jr., D.D.S.
• Michel Gevaert, M.D.
• Gabrielle Elisha Gholston, RN
• Ghosh Psychiatric Services, LLC
• Supriya Mathur Gianchandani, MD
• Adrian Kristin Giani, P.A.-C
• Eleni Giannulis
• Peter Giannulis
• Kathleen A Gianotti

• 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 Dec 20, 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.