Active NPI
Northbound Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Willow, AK
National Provider Identifier
1215820535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- NORTHBOUND PHYSICAL THERAPY, LLC
- Practice address
- 24413 W Willow Creek Pkwy
Willow, AK 99688 - Phone
- (785) 456-4582
- NPI assigned
- Jun 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chanel Ebert, DPT
- Title
- Physical Therapist
- Phone
- (785) 456-4582
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
24413 W Willow Creek Pkwy
Willow, AK 99688
Mailing address
PO Box 924
Willow, AK 99688-0924
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Willow, AK
- NPI 1922449255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1215820535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 924",
"city": "WILLOW",
"state": "AK",
"postal_code": "996880924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24413 W WILLOW CREEK PKWY",
"city": "WILLOW",
"state": "AK",
"postal_code": "99688",
"telephone_number": "785-456-4582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHBOUND PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "EBERT",
"authorized_official_first_name": "CHANEL",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "785-456-4582",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willow, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.