Active NPI
Frederick Victor Lief, PT
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1265744254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003580
- Practice address
- 4160 Tudor Centre Dr
Anchorage, AK 99508-5901 - Phone
- (907) 729-8624
- NPI assigned
- Jul 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3580 | KY | |
| Physical Therapist | 225100000X | 003580 | KY | Primary |
Addresses
Primary practice location
4160 Tudor Centre Dr
Anchorage, AK 99508-5901
Mailing address
4201 Tudor Centre Dr
#320
Anchorage, AK 99508-5904
Phone (907) 729-8624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0110 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3580 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients |
Locations
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
Organizations & group practices 10
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
- Community Health Clinic/Center
- Kokhanok, AK
- NPI 1043689169
-
- Multi-Specialty Clinic/Center
- McGrath, AK
- NPI 1063467223
-
- Community Health Clinic/Center
- Iguigig, AK
- NPI 1144699216
-
- Primary Care Clinic/Center
- Anchorage, AK
- NPI 1437772886
-
- Community Health Clinic/Center
- Tyonek, AK
- NPI 1609232040
-
- Community Health Clinic/Center
- Nondalton, AK
- NPI 1740659192
-
- Multi-Specialty Clinic/Center
- Iliamna, AK
- NPI 1912954272
-
- Multi-Specialty Clinic/Center
- Anchorage, AK
- NPI 1255881637
-
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1386680056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1265744254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 TUDOR CENTRE DR",
"address_2": "#320",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085904",
"telephone_number": "907-729-8624",
"fax_number": "907-729-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 TUDOR CENTRE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085901",
"telephone_number": "907-729-8624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEF",
"first_name": "FREDERICK",
"middle_name": "VICTOR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "3580",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "003580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0110",
"state": "AK"
}
],
"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 Dec 20, 2012; 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.