NPIMap

Organization Active NPI

Out Patient at Home Physical Therapy LLC

Doing business as Julienne Cook-Mayfield DPT, ATC

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1356991525
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OUT PATIENT AT HOME PHYSICAL THERAPY LLC
Doing business as
Julienne Cook-Mayfield DPT, ATC
Practice address
12820 Mission Cir
Anchorage, AK 99516-2760
Phone
(907) 250-3932
NPI assigned
Sep 18, 2019
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Julienne Cook Mayfield, DPT, ATC
Title
Owner / Physical Therapist
Phone
(631) 786-6403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

12820 Mission Cir
Anchorage, AK 99516-2760

Mailing address

12820 Mission Cir
Anchorage, AK 99516-2760
Phone (907) 250-3932

Other identifiers 1

IdentifierTypeStateIssuer
1696774MedicaidAK

Other names 1

  • Julienne Cook-Mayfield DPT, ATC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie@outpatientathome.microsoft.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200129001432 AK Part B Supplier - Clinic/Group Practice 7911333687 Receives reassigned benefits from 9 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1356991525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 MISSION CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162760",
            "telephone_number": "907-250-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 MISSION CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162760",
            "telephone_number": "907-250-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT PATIENT AT HOME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "JULIENNE",
        "authorized_official_middle_name": "COOK",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "631-786-6403",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696774",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie@outpatientathome.microsoft.com",
            "affiliation": "N",
            "endpointDescription": "Business secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12820 Mission Cir",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995162760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Julienne Cook-Mayfield DPT, ATC",
            "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 Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.