Active NPI
James Werner, PT
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1366406993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 517
- Practice address
- 2740 Lake Otis Pkwy
Anchorage, AK 99508-4141 - Phone
- (907) 743-3333
- Fax
- (907) 272-8164
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- 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 | 517 | AK | Primary |
Addresses
Primary practice location
2740 Lake Otis Pkwy
Anchorage, AK 99508-4141
Mailing address
2740 Lake Otis Pkwy
Anchorage, AK 99508-4141
Phone (907) 743-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT4543 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517 | AK | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cable & McCormick Apc | Past | Accepting new patients | |
| Rehabilitation Medicine Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Anchorage, AK
- NPI 1649275389
-
- Rehabilitation Practitioner
- Anchorage, AK
- NPI 1831194562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1366406993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 LAKE OTIS PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084141",
"telephone_number": "907-743-3333",
"fax_number": "907-272-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 LAKE OTIS PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084141",
"telephone_number": "907-743-3333",
"fax_number": "907-272-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT4543",
"state": "AK"
}
],
"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 Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.