Individual provider Active NPI

Chad Ross, PT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1518023555
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1342 Issued in AK
Practice address
2203 W Dimond Blvd Ste 100a
Anchorage, AK 99515-4517
Phone
(907) 349-5801
Fax
(907) 349-5802
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1342 AK Primary

Addresses

Primary practice location

2203 W Dimond Blvd Ste 100a
Anchorage, AK 99515-4517

Mailing address

2203 W Dimond Blvd Ste 100a
Anchorage, AK 99515-4517
Phone (907) 349-5801

Other practice location 1

4141 B St Ste 205
Anchorage, AK 99503-5940
Phone (907) 312-1233

Other practice location 2

1917 Abbott Rd
Ste 200
Anchorage, AK 99507-3448
Phone (907) 279-4266

Other identifiers 1

IdentifierTypeStateIssuer
PT1342MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000577 AK Practitioner - Physical Therapist in Private Practice 0749242824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physical Therapy IncGroup PAC ID 1355231853, 34 clinicians

Practice addresses (Care Compare)

2203 W Dimond Blvd
Suite 100a
Anchorage, AK 99515-4517
Phone (907) 349-5801

742 K St
Anchorage, AK 99501-3331
Phone (907) 929-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perception Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
United Physical Therapy, LLC Physical Therapist CurrentSince May 18, 2022 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

2203 W Dimond Blvd
Ste 100A
Anchorage, AK 99515
Phone (907) 349-5801

742 K St
Anchorage, AK 99501
Phone (907) 929-8400

205 E Benson Blvd
Ste 439
Anchorage, AK 99503
Phone (907) 312-1233

4141 B St
Ste 205
Anchorage, AK 99503
Phone (907) 312-1233

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1518023555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W DIMOND BLVD STE 100A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154517",
            "telephone_number": "907-349-5801",
            "fax_number": "907-349-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W DIMOND BLVD STE 100A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154517",
            "telephone_number": "907-349-5801",
            "fax_number": "907-349-5802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 B St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995035940",
            "country_code": "US",
            "telephone_number": "907-312-1233",
            "fax_number": "907-519-6811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1917 Abbott Rd",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995073448",
            "country_code": "US",
            "telephone_number": "907-279-4266",
            "fax_number": "907-279-4272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CHAD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT1342",
            "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 May 6, 2022; 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.

Verify at the official NPI Registry.