Individual provider Active NPI

Justin Cache Handy, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1205355369
Registry record updated Sep 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
125568 Issued in AK
Practice address
4361 Boniface Pkwy Ste 3
Anchorage, AK 99504-4316
Phone
(907) 373-9462
NPI assigned
Sep 10, 2017
Last updated
Sep 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 125568 AK Primary

Addresses

Primary practice location

4361 Boniface Pkwy Ste 3
Anchorage, AK 99504-4316

Mailing address

3066 E Meridian Park Loop Ste 3
Wasilla, AK 99654-7254
Phone (907) 357-9590

Other identifiers 1

IdentifierTypeStateIssuer
125568OtherAKSTATE OF ALASKA PROFESSIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171024000443 AK Practitioner - Physical Therapist in Private Practice 8820364649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy LLCGroup PAC ID 9830580240, 25 clinicians
Empower Physical Therapy Limited PartnershipGroup PAC ID 8224537535, 38 clinicians

Practice addresses (Care Compare)

3765 E Blue Lupine Dr
Suite E
Wasilla, AK 99654-8417
Phone (907) 854-8075

3765 E Lupine Dr
Suite E
Wasilla, AK 99654
Phone (907) 373-9462

7985 E 16TH Ave
Suite 100
Anchorage, AK 99504-2896
Phone (907) 332-0021

902 E Palmer Wasilla Hwy
Palmer, AK 99645-6573
Phone (907) 373-9462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125568AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy Limited Partnership Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Medical Group of Alaska CurrentSince Sep 21, 2017 Accepting new patients
Empower Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients

Locations

4361 Boniface Pkwy
Ste 3
Anchorage, AK 99504
Phone (907) 333-2133

7985 E 16th Ave
Ste 100
Anchorage, AK 99504
Phone (907) 332-0021

902 E Palmer Wasilla Hwy
Palmer, AK 99645
Phone (907) 373-9462

3066 E Meridian Park Loop
Ste 3
Wasilla, AK 99654

3190 E Meridian Park Loop
Ste 207
Wasilla, AK 99654
Phone (907) 357-7710

3765 E Blue Lupine Dr
Ste E
Wasilla, AK 99654
Phone (907) 373-9462

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DACAAA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505001600000",
    "number": "1205355369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP STE 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547254",
            "telephone_number": "907-357-9590",
            "fax_number": "907-357-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 BONIFACE PKWY STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044316",
            "telephone_number": "907-373-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDY",
        "first_name": "JUSTIN",
        "middle_name": "CACHE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-10",
        "last_updated": "2017-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "125568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA PROFESSIONAL LICENSE",
            "identifier": "125568",
            "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 Sep 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.