Pacific Rim Athletics LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PACIFIC RIM ATHLETICS LLC

Doing business as

Pacific Rim Athletics

Practice address

10950 Mausel St Ste B8
Eagle River, AK 99577-8098

Phone

(907) 717-5193

NPI assigned

Jan 20, 2021

Last updated

Jan 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexis WeilandNPI 1922436609

Title

Owner

Phone

(907) 717-5193

Specialties & licenses 2

Addresses

Other names 1

• Pacific Rim Athletics Doing business as

Locations

Practitioners 2

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.

• Alexis Teresita Weiland, CCC-SLP

  • Speech-Language Pathologist
  • Eagle River, AK
  • NPI 1922436609
  NPD Authorized official
• Morgan Charbonneau, PHYSICAL THERAPIST

  • Physical Therapist
  • Anchorage, AK
  • NPI 1972193795
  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1396335634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 MAUSEL ST STE B8",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778098",
            "telephone_number": "907-717-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 MAUSEL ST STE B8",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778098",
            "telephone_number": "907-717-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIM ATHLETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-717-5193"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Rim Athletics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter J Osterbauer, M.D.
• Nancy J Ouimet, MD
• Chantel Lashaun Oukrop, O.D.
• Our Meadows LLC
• Nicole V Ourso
• Lea Palmer, RDN
• Pan Alaska Physical Therapy (Eagle Center Physical Therapy)
• Pan Alaska Physical Therapy (Eagle Center Physical Therapy)
• Anne Paolucci, RBT
• Julie Marie Parantala, DPT

• Physical Therapy Clinic/Center in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.