Individual provider Active NPI

Cortland Reger

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1285737361
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1380 Issued in AK
Practice address
510 W Tudor Rd
Suite 10
Anchorage, AK 99503-6649
Phone
(907) 677-9112
Fax
(907) 677-9121
NPI assigned
Sep 6, 2006
Last updated
Nov 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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 1380 AK Primary

Addresses

Primary practice location

510 W Tudor Rd
Suite 10
Anchorage, AK 99503-6649

Mailing address

PO Box 242131
Anchorage, AK 99524-2131
Phone (907) 677-9112

Other identifiers 1

IdentifierTypeStateIssuer
1380OtherAKLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610001131 AK Practitioner - Physical Therapist in Private Practice 6406986892 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
Reger Enterprises, LLCGroup PAC ID 5597895987, 4 clinicians

Practice addresses (Care Compare)

510 W Tudor Rd
Suite 10
Anchorage, AK 99503-6649
Phone (907) 677-9112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reger Enterprises, LLC CurrentSince May 24, 2010 Accepting new patients
Trailhead Medical Care LLC PastSince Nov 1, 2023 Accepting new patients
Better Health Pain & Wellness Center LLC Past Accepting new patients

Locations

510 W Tudor Rd
Ste 10
Anchorage, AK 99503
Phone (907) 677-9112

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1285737361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242131",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995242131",
            "telephone_number": "907-677-9112",
            "fax_number": "907-677-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD",
            "address_2": "SUITE 10",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-677-9112",
            "fax_number": "907-677-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGER",
        "first_name": "CORTLAND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1380",
            "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 Nov 22, 2010; 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.