Highmark Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HIGHMARK PHYSICAL THERAPY

Practice address

1736 Farmers Loop Road
Fairbanks, AK 99709

Phone

(801) 573-2496

NPI assigned

Mar 20, 2025

Organization subpart

No

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

Authorized official

Name

Andrea Stauner, DPTNPI 1023320876

Title

Owner

Phone

(801) 573-2496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Stauner

  • Physical Therapist
  • Wasilla, AK
  • NPI 1023320876
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Taliaferro, PT

  • Physical Therapist
  • Wasilla, AK
  • NPI 1174175400
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1497556104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HILLSIDE DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 FARMERS LOOP ROAD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99709",
            "telephone_number": "801-573-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHMARK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "STAUNER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-573-2496",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Hickman
• Odesha Hickmon
• Glenda D Hicks
• Stephanie Marie Hicks
• Troy Hicks
• Alicia R Hill
• Cristina Kay Hill, MA
• Lisa Carole Hill, RD
• Holly Ann Hilleman, RDH
• Robert Hilleman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.