NPIMap

Organization Active NPI

Vibrant Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Anchorage, AK
National Provider Identifier
1396223921
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
106666 Issued in AK
Legal business name
VIBRANT PHYSICAL THERAPY LLC
Practice address
9500 Canton Loop
Anchorage, AK 99515-1429
Phone
(907) 360-3648
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Yichen Chung, PTNPI 1710433610
Title
Owner
Phone
(907) 360-3648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 106666 AK Primary

Addresses

Primary practice location

9500 Canton Loop
Anchorage, AK 99515-1429

Mailing address

9500 Canton Loop
Anchorage, AK 99515-1429
Phone (907) 360-3648

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1396223921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 CANTON LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151429",
            "telephone_number": "907-360-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 CANTON LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151429",
            "telephone_number": "907-360-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "YICHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-360-3648",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AK",
            "license": "106666",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2018; 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.