Integrative Physical Therapy and Spine Treatment Center, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATIVE PHYSICAL THERAPY AND SPINE TREATMENT CENTER, INC.

Practice address

4001 Lake Otis Pkwy Ste 201
Anchorage, AK 99508

Phone

(907) 561-1711

Fax

(907) 561-6676

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Louis Greene, MSPTNPI 1740210012

Title

President

Phone

(907) 561-1711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis Greene, PT

  • Physical Therapist
  • Anchorage, AK
  • NPI 1740210012

  AK, Physical Therapist

  Medicare reassignment NPD Authorized official
• E Frances Seater, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1821229014

  AK

  Medicare reassignment NPD
• Stephen Daniel Kulin, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1871574749
  NPD (past)
• Terry J Lewis, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1245326917
  NPD (past)
• Colleen McElhenny, PT

  • Physical Therapist
  • Anchorage, AK
  • NPI 1801184049
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1295761732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241889",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241889",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAKE OTIS PKWY STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-1711",
            "fax_number": "907-561-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL THERAPY AND SPINE TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-561-1711",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.

Verify at the official NPI Registry.