Pan Alaska Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

235 Issued in AK

Legal business name

PAN ALASKA PHYSICAL THERAPY, INC.

Practice address

3750 E Country Field Cir
Suite a
Wasilla, AK 99654-6689

Phone

(907) 376-7334

Fax

(907) 373-1429

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Joanne K. Fosdick, PTA

Title

Owner

Phone

(907) 376-7334

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wasilla Physical Therapy 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.

• Teresa Gool

  • Physical Therapist
  • Palmer, AK
  • NPI 1871950824
  NPD (past)
• Jennifer Lynn Forsberg, PT

  • Physical Therapist
  • Frederick, MD
  • NPI 1568577203
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1467523779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 E COUNTRY FIELD CIR",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546689",
            "telephone_number": "907-376-7334",
            "fax_number": "907-373-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 E COUNTRY FIELD CIR",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546689",
            "telephone_number": "907-376-7334",
            "fax_number": "907-373-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN ALASKA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "FOSDICK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-7334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT07162",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wasilla Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy S Page
• Luke Pahlau
• Pain and Headache Center, LLC
• Elizabeth Rachael Palmer
• Taunya Palmer, LMT
• Jamie Christine Paradis
• Michelle Parker
• Kevin Jared Parks, DDS
• Jenifer Leigh Parrish
• William Parrish

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.