Active NPI
Chelsea Bouman, PT, DPT
- Orthopedic Physical Therapist
- Anchorage, AK
National Provider Identifier
1356824577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 130857
- Practice address
- 3801 Lake Otis Pkwy
Anchorage, AK 99508-5234 - Phone
- (907) 562-2277
- NPI assigned
- Sep 13, 2018
- Last updated
- Dec 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60761093 | WA | |
| Orthopedic Physical Therapist | 2251X0800X | 130857 | AK | Primary |
Addresses
Primary practice location
3801 Lake Otis Pkwy
Anchorage, AK 99508-5234
Mailing address
3801 Lake Otis Pkwy
Anchorage, AK 99508-5234
Other names 1
- Chelsea Dyson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- Quality
- 52.97
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 73.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60761093 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoalaska LLC | Past | Accepting new patients |
Interoperability endpoints
- chelsea.dyson.p1@direct.opaak.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
dba Orthopedic Physicians Alaska
- Rheumatology Physician
- Anchorage, AK
- NPI 1265293252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1356824577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 LAKE OTIS PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 LAKE OTIS PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085234",
"telephone_number": "907-562-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUMAN",
"first_name": "CHELSEA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60761093",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AK",
"license": "130857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "DYSON",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.