Organization Active NPI

Jeffrey C Trotter

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1306181821
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
981394 Issued in AK
Legal business name
JEFFREY C TROTTER
Doing business as
Frontier Therapy
Practice address
2421 E Tudor Rd Ste 103
Anchorage, AK 99507-1166
Phone
(907) 646-9774
Fax
(907) 646-9775
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Jeffrey Trotter, D.P.T
Title
Owner/Physical Therapist
Phone
(907) 646-9774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 981394 AK Primary

Addresses

Primary practice location

2421 E Tudor Rd Ste 103
Anchorage, AK 99507-1166

Mailing address

2421 E Tudor Rd Ste 103
Anchorage, AK 99507-1166
Phone (907) 646-9774

Other identifiers 1

IdentifierTypeStateIssuer
1581631MedicaidAK

Other names 1

  • Frontier Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

9138 Arlon St
Ste A3
Anchorage, AK 99507
Phone (907) 646-9774

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1306181821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071166",
            "telephone_number": "907-646-9774",
            "fax_number": "907-646-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071166",
            "telephone_number": "907-646-9774",
            "fax_number": "907-646-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C TROTTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "907-646-9774",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "981394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581631",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2014; 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.