Light Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LIGHT PHYSICAL THERAPY LLC

Practice address

22424 Birchwood Loop Rd
Chugiak, AK 99567-6476

Phone

(907) 727-4950

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Julie LightNPI 1245990597

Title

Physical Therapist

Phone

(907) 727-4950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Light, PT

  • Physical Therapist
  • Anchorage, AK
  • NPI 1245990597
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1205545498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 LONE TREE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995076940",
            "telephone_number": "907-727-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22424 BIRCHWOOD LOOP RD",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995676476",
            "telephone_number": "907-727-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "907-727-4950"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F Lanier, MD
• Nalena Largay, BA
• Jimael Lawson
• Nina Leacock, OTD
• Stella Natoshia Levin, DPT
• Monica Loht, LPC
• Aria Lonergan, MSS
• Abigail Mancill, OTD, OTR/L
• Reagan Manolas
• Georgiana McCanne

• Physical Therapy Clinic/Center in Chugiak, AK
• Providers in Chugiak, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.