Active NPI
Taylor Katherine Jusufovic, PT, DPT, CLT
- Physical Therapist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 199722
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 199722 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Far North Health Services LLC | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | 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.
-
- Physical Therapist
- Anchorage, AK
- NPI 1548927510
AK, Physical Therapist
-
- Physical Therapy Clinic/Center
- Eagle River, AK
- NPI 1699743484
AK, Physical Therapist
-
- Physical Therapy Clinic/Center
- Wasilla, AK
- NPI 1821740697
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
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.