Individual provider Active NPI

Jeanna Marie Duryee, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1265739098
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1416 Issued in AK
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

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20110414000872 AK Practitioner - Physical Therapist in Private Practice 4880878800 Reassigns benefits to 1 organization

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
East Side Physical Therapy, LLCGroup PAC ID 2961686985, 2 clinicians

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

LicenseStateTypeSpecialty
1416AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Side Physical Therapy, LLC CurrentSince Mar 15, 2011 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.

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.

Verify at the official NPI Registry.