Active NPI
Vicki Elaine Readnour, P.T.
- Physical Therapist
- North Pole, AK
National Provider Identifier
1376742494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1948
- Practice address
- 167-B Santa Claus Lane
North Pole, AK 99705 - Phone
- (907) 488-4978
- Fax
- (907) 488-4976
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1948 | AK | Primary |
Addresses
Primary practice location
167-B Santa Claus Lane
North Pole, AK 99705
Mailing address
1935 Kendall Ave
North Pole, AK 99705-5416
Phone (816) 719-0797
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pole Physical Therapy, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- North Pole, AK
- NPI 1639238694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1376742494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 KENDALL AVE",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "997055416",
"telephone_number": "816-719-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167-B SANTA CLAUS LANE",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "99705",
"telephone_number": "907-488-4978",
"fax_number": "907-488-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READNOUR",
"first_name": "VICKI",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "1948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Pole, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.