Deven Marcus Pfister, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

158692 Issued in AK

Practice address

11260 Old Seward Hwy
Anchorage, AK 99515-3098

Phone

(907) 341-5555

Fax

(907) 341-5755

NPI assigned

Aug 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Point North Physical Therapy

  • Physical Therapist
  • Anchorage, AK
  • NPI 1669131835
  NPD
• Rebound Sports and Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1407888902
  NPD

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1417568429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110171",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153098",
            "telephone_number": "907-341-5555",
            "fax_number": "907-341-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFISTER",
        "first_name": "DEVEN",
        "middle_name": "MARCUS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "158692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie J. Petty, APRN.CNP
• Norman Charles Petty, MD
• Tatiana Pfaffe
• Anna Jo Pfahl, MD
• Shannon Pfau, RN BSN
• Joel Phair, PHARM.D.
• Denny Pham
• Sitha Lee Phanmanivong, RN
• Pharmacy Corporation of America
• Phoday Phattey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.