Active NPI
Joan Stassel
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1487762415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 813
- Practice address
- 2740 Lake Otis Pkwy
Anchorage, AK 99508-4141 - Phone
- (907) 743-3310
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 813 | AK | Primary |
Addresses
Primary practice location
2740 Lake Otis Pkwy
Anchorage, AK 99508-4141
Mailing address
12101 Jerome St
Anchorage, AK 99516-2142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0813 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051108000421 | AK | Practitioner - Physical Therapist in Private Practice | 9234157272 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chugach Physical Therapy Inc
Practice addresses (Care Compare)
2740 Lake Otis Pkwy
Anchorage, AK 99508-4143
Phone (907) 743-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 813 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chugach Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Medical Park Family Care, LLC | Past | Accepting new patients |
Locations
2740 Lake Otis Pkwy
Anchorage, AK 99508
Phone (907) 743-3310
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Anchorage, AK
- NPI 1144392317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487762415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 JEROME ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995162142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 LAKE OTIS PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084141",
"telephone_number": "907-743-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASSEL",
"first_name": "JOAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0813",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.