Summit Physical Therapy, Inc.
Organization Active NPI Physical Therapist · Homer, AK
NPI 1487157665 · NPPES record last updated Jun 28, 2018
Key facts
- NPI
- 1487157665
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1069770 (AK)
- Legal business name
- SUMMIT PHYSICAL THERAPY, INC.
- Practice address
- 601 E Pioneer Ave Ste 218
Homer, AK 99603 - Phone
- (907) 235-7473
- Fax
- (907) 205-5370
- NPI assigned
- Mar 14, 2018
- Organization subpart
- No
Authorized official
- Name
- Christina De la Torre, PT, DPT
- Title
- Chief Financial Officer & Treasurer
- Phone
- (907) 235-7473
Practitioners 20
-
Amanda Jo Cherok, PT, DPT
-
Jay C Cherok, DPT
-
Kristin Nicole James, DPT
-
Christopher C Kaplan, DPT, PT
-
Joanna Elizabeth Owen, PT, DPT
-
Aidan Blake Philpot, DPT
-
Melissa Mable Laye, DPT
-
Alexander Maszak, PT, DPT
-
Andrew V Misiorowski, PT, DPT
-
Connor Welch, DPT
-
Ashlynne Goodloe Bachman, PT, DPT
-
Ovidia Chacon Fierro, PT, DPT
-
Shelby Kline, PT, DPT
-
Lillian Rose Connor, PTA
-
Dawn Anne Murphy, RBT
-
Tyler Albrecht, PT
-
Jillian Elizabeth Schwartz, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180515001698 | AK | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5597029793 |
Receives reassigned benefits from 16 practitioners Practice locations: Seldovia, AK; Homer, AK |
National Provider Directory
Locations
601 E Pioneer Ave
Ste 218
Homer, AK 99603
Phone (907) 235-7473
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 1069770 | AK | Yes |
Addresses
Primary practice location
601 E Pioneer Ave Ste 218
Homer, AK 99603
Mailing address
PO Box 71
Homer, AK 99603-0071
Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.