Active NPI
Sitka Physical Therapy
- Physical Therapy Clinic/Center
- Sitka, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 306628
- Legal business name
- SITKA PHYSICAL THERAPY
- Practice address
- 700 Katlian St Ste E
Sitka, AK 99835-7359 - Phone
- (907) 747-5861
- Fax
- (907) 747-5415
- NPI assigned
- Mar 7, 2007
- Last updated
- Feb 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Speck, MSPT
- Title
- Physical Therapist
- Phone
- (907) 747-5861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 306628 | AK | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 306628 | AK |
Addresses
Primary practice location
700 Katlian St Ste E
Sitka, AK 99835-7359
Mailing address
700 Katlian St Ste E
Sitka, AK 99835-7359
Phone (907) 747-5861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT7699 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
121 John Brady Dr
Sitka, AK 99835
Phone (907) 738-9266
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Sitka, AK
- NPI 1598895930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1528199254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 KATLIAN ST STE E",
"city": "SITKA",
"state": "AK",
"postal_code": "998357359",
"telephone_number": "907-747-5861",
"fax_number": "907-747-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 KATLIAN ST STE E",
"city": "SITKA",
"state": "AK",
"postal_code": "998357359",
"telephone_number": "907-747-5861",
"fax_number": "907-747-5415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SITKA PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "SPECK",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "907-747-5861",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "AK",
"license": "306628",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "AK",
"license": "306628",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT7699",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.