NPIMap

Individual provider Active NPI

Caliann Taborsky

  • Massage Therapist
  • Wasilla, AK
National Provider Identifier
1295293074
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
140152 Issued in AK
Practice address
3161 E Palmer Wasilla Hwy Ste 1C
Wasilla, AK 99654-7271
Phone
(907) 357-1818
Fax
(907) 357-1814
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 140152 AK Primary

Addresses

Primary practice location

3161 E Palmer Wasilla Hwy Ste 1C
Wasilla, AK 99654-7271

Mailing address

3161 E Palmer Wasilla Hwy Ste 1C
Wasilla, AK 99654-7271
Phone (907) 357-1818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address altairchiro@altairchiropractic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
140152AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Altair Integrative Wellness CurrentSince Mar 9, 2020 Accepting new patients
Dopanine LLC PastSince Mar 9, 2020 Accepting new patients
Payne Clinics LLC Past Accepting new patients

Locations

3161 E Palmer Wasilla Hwy
Ste 1C
Wasilla, AK 99654
Phone (907) 357-1818

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1295293074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 E PALMER WASILLA HWY STE 1C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547271",
            "telephone_number": "907-357-1818",
            "fax_number": "907-357-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 E PALMER WASILLA HWY STE 1C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547271",
            "telephone_number": "907-357-1818",
            "fax_number": "907-357-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABORSKY",
        "first_name": "CALIANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "140152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "altairchiro@altairchiropractic.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3161 E Palmer Wasilla Hwy Ste 1C",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.