Active NPI
Linda Jean Wall, LMT
- Rehabilitation Chiropractor
- Anchorage, AK
National Provider Identifier
1497276448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 121838
- Practice address
- 1389 Huffman Park Dr Ste 140
Anchorage, AK 99515-3534 - Phone
- (907) 222-6122
- Fax
- (907) 205-5740
- NPI assigned
- Jun 29, 2017
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 121838 | AK | Primary |
Addresses
Primary practice location
1389 Huffman Park Dr Ste 140
Anchorage, AK 99515-3534
Mailing address
1389 Huffman Park Dr Ste 140
Anchorage, AK 99515-3534
Phone (907) 222-6122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121838 | AK | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1497276448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 HUFFMAN PARK DR STE 140",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153534",
"telephone_number": "907-222-6122",
"fax_number": "907-205-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1389 HUFFMAN PARK DR STE 140",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995153534",
"telephone_number": "907-222-6122",
"fax_number": "907-205-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "LINDA",
"middle_name": "JEAN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AK",
"license": "121838",
"primary": true
}
],
"identifiers": [],
"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 Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.