Heini Maisala-McDonnell, PT MOMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

732 Issued in AK

Practice address

2775 Mack Blvd
Fairbanks, AK 99709-4004

Phone

(907) 347-0187

NPI assigned

Dec 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Willow Physical Therapy, Limited

  • Orthopedic Physical Therapist
  • Fairbanks, AK
  • NPI 1831123165
  NPD (past)

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1396014056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 MACK BLVD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094004",
            "telephone_number": "907-347-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 MACK BLVD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094004",
            "telephone_number": "907-347-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISALA-MCDONNELL",
        "first_name": "HEINI",
        "credential": "PT MOMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "732",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "6253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie D Maggard, L.AC
• Maggie Wright SLP, LLC
• Michael J. Magowan, LMFT
• Keith Mahipala, DDS
• Janne Holmberg Maier, RDN
• Jennifer Allison Majors
• Nathen Majors
• Rene Majors
• Stephanie Majors
• Making a Difference Support Services

• Physical Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.