Active NPI
Jeffrey C Trotter
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1306181821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 981394
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1581631 | Medicaid | AK |
Other names 1
- Frontier Therapy
National Provider Directory
National Provider DirectoryLocations
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.