Paul Joseph Carlson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1683 Issued in AK

Practice address

218 W 34TH Ave
Anchorage, AK 99503-3977

Phone

(907) 868-7821

Fax

(907) 868-7584

NPI assigned

May 16, 2006

Last updated

Sep 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution Sport and Spine Therapy LLCGroup PAC ID 6507146412, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revolution Sport & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Soldotna, AK
  • NPI 1598215170
  Medicare reassignment Care Compare group NPD
• Independence Healthcare PC

  • Medical Specialty Clinic/Center
  • Soldotna, AK
  • NPI 1891790184
  Medicare reassignment NPD
• Independence Healthcare PC

  dba Corvus Neurology

  • Sleep Disorder Diagnostic Clinic/Center
  • Soldotna, AK
  • NPI 1649861576
  NPD
• Alaska Physical Therapy Specialists, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1801849211
  NPD (past)
• Borealis Chiropractic Inc

  • Chiropractor
  • Soldotna, AK
  • NPI 1558800607
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1336191824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W 34TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033977",
            "telephone_number": "907-868-7821",
            "fax_number": "907-868-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W 34TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033977",
            "telephone_number": "907-868-7821",
            "fax_number": "907-868-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1770757809",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Carlos
• Corina Carlson
• Ingrid Marie Carlson, PA-C
• Jessica Caitlyn Carlson, FNP
• Megan M Carlson, OT
• Vanessa Carlson, ATC
• Christopher Chase Carlston, DDS
• Callista Carlton, PHARM.D.
• Cristin Carlton, LMT
• Maggie Carlton, PTA

• 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 Sep 9, 2008; 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.