Active NPI
Mary Pomeroy, LPT
- Pediatric Physical Therapist
- Anchorage, AK
National Provider Identifier
1528209079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 72248
- Legal business name
- MARY POMEROY, LPT
- Practice address
- 4325 Laurel St
Suite 100
Anchorage, AK 99508-5364 - Phone
- (907) 376-8280
- Fax
- (907) 376-0293
- NPI assigned
- Mar 12, 2009
- 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
- Joseph Eugene Beaty
- Title
- Billing Agent
- Phone
- (907) 770-2301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 72248 | AK | Primary |
Addresses
Primary practice location
4325 Laurel St
Suite 100
Anchorage, AK 99508-5364
Mailing address
PO Box 241769
Anchorage, AK 99524-1769
Phone (907) 770-2301
Other names 1
- Children's Physical Therapy Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1528209079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241769",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995241769",
"telephone_number": "907-770-2301",
"fax_number": "907-770-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 LAUREL ST",
"address_2": "SUITE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085364",
"telephone_number": "907-376-8280",
"fax_number": "907-376-0293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY POMEROY, LPT",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-12",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "BEATY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "BILLING AGENT",
"authorized_official_telephone_number": "907-770-2301"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "AK",
"license": "72248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Physical Therapy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 21, 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.