Positive Path LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

POSITIVE PATH LLC

Practice address

7647 W Tia Terrace Dr
Wasilla, AK 99623-0332

Phone

(907) 841-5434

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Reba Brady, MA

Title

Owner

Phone

(907) 841-5434

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1245850403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7647 W TIA TERRACE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230332",
            "telephone_number": "907-841-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7647 W TIA TERRACE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230332",
            "telephone_number": "907-841-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "REBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-841-5434",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624131",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rbrady@positivepathcc.com",
            "affiliation": "N",
            "address_1": "7647 W Tia Terrace Dr",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996230332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Polston
• David George Poole
• Keith Poorbaugh, PT, SCD, OCS, FAAOMP
• Mikael Porcello
• Lindsey G Posey
• Joseph Potter IV
• Michelle Poulos
• Anita Irene Powell
• Valerie Lea Powell
• Beatrice Elise Powers, PA-C

• Case Manager/Care Coordinator in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.