Organization Active NPI

Healthwise Physical Therapy, Inc

  • Physical Therapy Assistant
  • Eagle River, AK
National Provider Identifier
1225494552
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Legal business name
HEALTHWISE PHYSICAL THERAPY, INC
Practice address
11421 Old Glenn Hwy
Suite 100
Eagle River, AK 99577-7729
Phone
(907) 694-2273
NPI assigned
Dec 31, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Richard Young
Title
President
Phone
(907) 694-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X NU Primary

Addresses

Primary practice location

11421 Old Glenn Hwy
Suite 100
Eagle River, AK 99577-7729

Mailing address

11421 Old Glenn Hwy
Suite 100
Eagle River, AK 99577-7729

National Provider Directory

National Provider Directory

Locations

11421 Old Glenn Hwy
Ste 100
Eagle River, AK 99577
Phone (907) 622-2500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1225494552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11421 OLD GLENN HWY",
            "address_2": "SUITE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11421 OLD GLENN HWY",
            "address_2": "SUITE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777729",
            "telephone_number": "907-694-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-694-2273"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.