Advantage Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ADVANTAGE PHYSICAL THERAPY LLC

Practice address

44009 Sterling Hwy Ste B
Soldotna, AK 99669-8030

Phone

(907) 420-0585

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By 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

Jeoffrey LanfearNPI 1083887749

Title

Owner

Phone

(907) 420-0585

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: ashepard@urgentcareofsoldotna.com

Practitioners 3

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.

• Erin Krier Liles, PT, DPT

  • Physical Therapist
  • North Pole, AK
  • NPI 1336993633
  Medicare reassignment Care Compare group NPD
• Taylor Ravoyd Liles, PT, DPT

  • Physical Therapist
  • Eielson AFB, AK
  • NPI 1699364877
  Medicare reassignment Care Compare group NPD
• Jeoffrey Walter Lanfear, FNP

  • Family Nurse Practitioner
  • Soldotna, AK
  • NPI 1083887749
  NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1447973219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44604 STERLING HWY STE D",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697962",
            "telephone_number": "907-420-0585",
            "fax_number": "907-420-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44009 STERLING HWY STE B",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698030",
            "telephone_number": "907-420-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "LANFEAR",
        "authorized_official_first_name": "JEOFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-420-0585"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashepard@urgentcareofsoldotna.com",
            "affiliation": "N",
            "address_1": "44009 Sterling Hwy Ste B",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996698030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaa Alaska Cab, Inc.
• Chevelle S Abel
• Samuel S. Adams, M.D.
• Gloria Carolyn Adkins
• Advanced Biomechanics Inc
• Agape' Care Center
• Ak Care Coordination Services LLC
• Paulette Carol Akers
• Alaska Advanced Care Chiropractic
• Alaska Aquatic Therapy Inc. (Alaska Aquatic & Rehab Therapy, Inc.)

• Physical Therapy Clinic/Center in Soldotna, AK
• Providers in Soldotna, 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 Sep 26, 2022; 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.