NPIMap

Organization Active NPI

Wisdom Traditions Wellness, LLC

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1245443662
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1612 Issued in AK
Legal business name
WISDOM TRADITIONS WELLNESS, LLC
Practice address
615 E 82ND Avenue Suite B-5
Suite #17
Anchorage, AK 99518
Phone
(907) 644-0722
Fax
(888) 957-1346
NPI assigned
May 8, 2007
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Wanda L Warren, PT,L.AC,MHS,DIPL.AC.NPI 1326415969
Title
Owner, Therapist
Phone
(907) 644-0722

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 88 AK
Physical Therapist 225100000X 1612 AK Primary

Addresses

Primary practice location

615 E 82ND Avenue Suite B-5
Suite #17
Anchorage, AK 99518

Mailing address

615 E 82ND Avenue Suite B-5
Suite #17
Anchorage, AK 99518
Phone (907) 644-0722

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1245443662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVENUE SUITE B-5",
            "address_2": "SUITE #17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99518",
            "telephone_number": "907-644-0722",
            "fax_number": "888-957-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVENUE SUITE B-5",
            "address_2": "SUITE #17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99518",
            "telephone_number": "907-644-0722",
            "fax_number": "888-957-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM TRADITIONS WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "907-644-0722",
        "authorized_official_credential": "PT,L.AC,MHS,DIPL.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "88",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 5, 2019; 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.