Organization Active NPI

Arctic Therapy & Rehab Bethel

  • Physical Therapy Clinic/Center
  • Bethel, AK
National Provider Identifier
1477936334
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2841 Issued in AK
Legal business name
ARCTIC THERAPY & REHAB BETHEL
Practice address
107 Alex Hatley Dr, Ste B
Bethel, AK 99559-3466
Phone
(907) 543-7600
Fax
(877) 803-8297
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Dr. Walter Campbell, DCNPI 1891824595
Title
Owner
Phone
(907) 250-7246

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
Physical Therapy Clinic/Center 261QP2000X 2841 AK Primary

Addresses

Primary practice location

107 Alex Hatley Dr, Ste B
Bethel, AK 99559-3466

Mailing address

1150 S Colony Way Ste 3
PMB 226
Palmer, AK 99645-6967
Phone (907) 543-7601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170511001082 AK Part B Supplier - Clinic/Group Practice 6608153010 Receives reassigned benefits from 3 practitioners
Practice locations: Bethel, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1477936334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY STE 3",
            "address_2": "PMB 226",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456967",
            "telephone_number": "907-543-7601",
            "fax_number": "907-543-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ALEX HATLEY DR, STE B",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995593466",
            "telephone_number": "907-543-7600",
            "fax_number": "877-803-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC THERAPY & REHAB BETHEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-250-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "2841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.