D&W Rehab, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2366 Issued in AK

Legal business name

D&W REHAB, INC.

Practice address

2401 E 42ND Ave
#205
Anchorage, AK 99508-5228

Phone

(907) 561-6111

Fax

(866) 550-6770

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Stacy Pettit, OTR/L, MBA

Title

President

Phone

(907) 561-6111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1174997282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "#205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085228",
            "telephone_number": "907-561-6111",
            "fax_number": "866-550-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "#205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085228",
            "telephone_number": "907-561-6111",
            "fax_number": "866-550-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&W REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-561-6111",
        "authorized_official_credential": "OTR/L, MBA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "2366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770714313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.