Individual provider Active NPI

Taylor Katherine Jusufovic, PT, DPT, CLT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1346901980
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
199722 Issued in AK
Practice address
3074 Mountain View Dr Ste 184&187
Anchorage, AK 99501-3144
Phone
(907) 531-1888
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 199722 AK Primary

Addresses

Primary practice location

3074 Mountain View Dr Ste 184&187
Anchorage, AK 99501-3144

Mailing address

3074 Mountain View Dr Ste 184&187
Anchorage, AK 99501-3144
Phone (075) 311-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123002227 AK Practitioner - Physical Therapist in Private Practice 1951777309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings Inc 1,992 clinicians

Practice addresses (Care Compare)

220 Main St Loop
Unit a
Kenai, AK 99611-7724
Phone (907) 335-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
199722AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Far North Health Services LLC Physical Therapist CurrentSince Jan 29, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 15, 2022 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients

Locations

10325 Old Seward Hwy
Ste 201
Anchorage, AK 99515
Phone (907) 522-1088

3074 Mountain View Dr
Ste 184187
Anchorage, AK 99501
Phone (907) 531-1888

207 E Northern Lights Blvd
Ste 114
Anchorage, AK 99503
Phone (907) 865-5378

220 Main Street Loop
#A
Kenai, AK 99611
Phone (907) 335-1020

Organizations & group practices 4

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1346901980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 MOUNTAIN VIEW DR STE 184&187",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013144",
            "telephone_number": "075-311-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 MOUNTAIN VIEW DR STE 184&187",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013144",
            "telephone_number": "907-531-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSUFOVIC",
        "first_name": "TAYLOR",
        "middle_name": "KATHERINE",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "199722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 26, 2024; 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.