Organization Active NPI

Juneau Mobile Therapy LLC

  • Physical Therapist
  • Juneau, AK
National Provider Identifier
1265097679
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JUNEAU MOBILE THERAPY LLC
Practice address
1003 Bonnie Doon Dr
Juneau, AK 99801-9441
Phone
(907) 500-2220
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Erin E Felke-Caf, DPTNPI 1750414553
Title
Owner/DPT
Phone
(907) 419-7253

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1003 Bonnie Doon Dr
Juneau, AK 99801-9441

Mailing address

1003 Bonnie Doon Dr
Juneau, AK 99801-9441
Phone (907) 500-2220

Other names 1

  • Juneau Mobile Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190618003163 AK Part B Supplier - Clinic/Group Practice 7517291925 Receives reassigned benefits from 1 practitioner
Practice locations: Juneau, AK

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.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1265097679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BONNIE DOON DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019441",
            "telephone_number": "907-500-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BONNIE DOON DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019441",
            "telephone_number": "907-500-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNEAU MOBILE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "FELKE-CAF",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DPT",
        "authorized_official_telephone_number": "907-419-7253",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juneau Mobile Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.