NPIMap

Organization Active NPI

Arctic Physical Therapy Services, Inc.

  • Physical Therapy Clinic/Center
  • Kodiak, AK
National Provider Identifier
1386817732
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
277835 Issued in AK
Legal business name
ARCTIC PHYSICAL THERAPY SERVICES, INC.
Practice address
813 Lower Mill Bay Rd
Kodiak, AK 99615-7314
Phone
(907) 486-4499
Fax
(907) 486-8211
NPI assigned
Apr 7, 2008
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Lori Beard Cook, CPC, CPB
Title
Business Manager
Phone
(423) 290-4912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 277835 AK Primary

Addresses

Primary practice location

813 Lower Mill Bay Rd
Kodiak, AK 99615-7314

Mailing address

813 Lower Mill Bay Rd
Kodiak, AK 99615-7314
Phone (907) 486-4499

Other practice location 1

1247 Mill Bay Rd
Kodiak, AK 99615-6486
Phone (907) 486-4499

Other identifiers 1

IdentifierTypeStateIssuer
1021378MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000332 AK Part B Supplier - Clinic/Group Practice 3577557297 Receives reassigned benefits from 3 practitioners
Practice locations: Kodiak, AK

National Provider Directory

National Provider Directory

Locations

813 Lower Mill Bay Rd
Kodiak, AK 99615
Phone (423) 290-4912

Practitioners & affiliated clinicians

Practitioners 12

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": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1386817732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 LOWER MILL BAY RD",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996157314",
            "telephone_number": "907-486-4499",
            "fax_number": "907-486-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 LOWER MILL BAY RD",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996157314",
            "telephone_number": "907-486-4499",
            "fax_number": "907-486-8211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1247 Mill Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Kodiak",
            "state": "AK",
            "postal_code": "996156486",
            "country_code": "US",
            "telephone_number": "907-486-4499",
            "fax_number": "907-486-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCTIC PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "BEARD",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "423-290-4912",
        "authorized_official_credential": "CPC, CPB"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "277835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021378",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.