Meredith Autrey, PT, OCS, FAAOMPT
Individual provider Active NPI Physical Therapist · Anchorage, AK
NPI 1497925200 · NPPES record last updated Mar 7, 2008
Key facts
- NPI
- 1497925200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- AK1049 (AK)
- Practice address
- 6200 Lake Otis Pkwy
Ste 104
Anchorage, AK 99507-2033 - Phone
- (907) 770-6693
- Fax
- (907) 770-6697
- NPI assigned
- Mar 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Physical Therapy Inc
Practice addresses (Care Compare)
12570 Old Seward Hwy
Suite 202
Anchorage, AK 99515-3532
Phone (907) 222-2886
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120712000897 | AK | Practitioner - Physical Therapist in Private Practice | 4284536871 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK1049 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
6200 Lake Otis Pkwy
Ste 104
Anchorage, AK 99507
Phone (907) 770-6693
206 E Northern Lights Blvd
Ste 1
Anchorage, AK 99503
Phone (907) 561-2260
12570 Old Seward Hwy
Ste 202
Anchorage, AK 99515
Phone (907) 222-2886
742 K St
Anchorage, AK 99501
Phone (907) 929-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AK1049 | AK | Yes |
Addresses
Primary practice location
6200 Lake Otis Pkwy
Ste 104
Anchorage, AK 99507-2033
Mailing address
6200 Lake Otis Pkwy
Ste 104
Anchorage, AK 99507-2033
Phone (907) 770-6693
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT4233 | Medicaid | AK |
Other providers in Anchorage, AK
- Loren D Austin
- Mistie L Austin
- Virginia Austria
- Authentic Living, LLC
- Autonomology, PC
- Jasmine Auza
- Kristoffer Allen Portugaleza Auza
- Avalia Health LLC
- J. Dette Avalon
- Avante Medical Center, LLC
All providers in Anchorage, AK · Physical Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2008. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.