Active NPI
Michael Robert Myers, DPT
- Physical Therapist
- Fairbanks, AK
National Provider Identifier
1265718548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2509
- Practice address
- 158 Frog Pond Cir
Fairbanks, AK 99712-1244 - Phone
- (907) 251-5472
- Fax
- (907) 600-1823
- NPI assigned
- Oct 31, 2011
- Last updated
- Jun 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2509 | AK | Primary |
Addresses
Primary practice location
158 Frog Pond Cir
Fairbanks, AK 99712-1244
Mailing address
158 Frog Pond Cir
Fairbanks, AK 99712-1244
Phone (907) 251-5472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2509 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Myers Physical Therapy
- Physical Therapy Clinic/Center
- Fairbanks, AK
- NPI 1720520935
-
- Physical Therapist
- Anchorage, AK
- NPI 1437214459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1265718548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 FROG POND CIR",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997121244",
"telephone_number": "907-251-5472",
"fax_number": "907-600-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 FROG POND CIR",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997121244",
"telephone_number": "907-251-5472",
"fax_number": "907-600-1823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-31",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "2509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.