Active NPI
Jeanna Marie Duryee, DPT
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1265739098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1416
- Practice address
- 6901 Debarr Rd
Suite1E
Anchorage, AK 99504-1806 - Phone
- (907) 332-3778
- Fax
- (907) 332-3790
- NPI assigned
- Feb 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 1416 | AK | Primary |
Addresses
Primary practice location
6901 Debarr Rd
Suite1E
Anchorage, AK 99504-1806
Mailing address
6901 Debarr Rd
Suite1E
Anchorage, AK 99504-1806
Phone (907) 332-3778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6901 Debarr Rd
Anchorage, AK 99504-5200
Phone (907) 332-3778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1416 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Side Physical Therapy, LLC | Current | Accepting new patients |
Locations
6901 Debarr Rd
Ste 1E
Anchorage, AK 99504
Phone (907) 332-3778
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Anchorage, AK
- NPI 1972800266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1265739098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 DEBARR RD",
"address_2": "SUITE1E",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995041806",
"telephone_number": "907-332-3778",
"fax_number": "907-332-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 DEBARR RD",
"address_2": "SUITE1E",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995041806",
"telephone_number": "907-332-3778",
"fax_number": "907-332-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURYEE",
"first_name": "JEANNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "1416",
"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 Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.