Organization Active NPI

Sitka Physical Therapy

  • Physical Therapy Clinic/Center
  • Sitka, AK
National Provider Identifier
1528199254
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
306628 Issued in AK
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Eric Speck, MSPTNPI 1598895930
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT7699MedicaidAK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.