Active NPI
Kristen Luoma Cassens, M.S., P.T.
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1184846370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 724
- Practice address
- 3330 Arctic Blvd
Suite 101
Anchorage, AK 99503-4523 - Phone
- (907) 561-8060
- Fax
- (907) 563-3172
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 724 | AK | Primary |
Addresses
Primary practice location
3330 Arctic Blvd
Suite 101
Anchorage, AK 99503-4523
Mailing address
PO Box 906
Girdwood, AK 99587-0906
Phone (907) 783-2506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 724 | Other | AK | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724 | AK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Programs for Infants and Children | Past | Accepting new patients | |
| Programs for Infants & Children, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184846370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 906",
"city": "GIRDWOOD",
"state": "AK",
"postal_code": "995870906",
"telephone_number": "907-783-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 ARCTIC BLVD",
"address_2": "SUITE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034523",
"telephone_number": "907-561-8060",
"fax_number": "907-563-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSENS",
"first_name": "KRISTEN",
"middle_name": "LUOMA",
"credential": "M.S., P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "724",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.