Organization Active NPI

Mary Pomeroy, LPT

  • Pediatric Physical Therapist
  • Anchorage, AK
National Provider Identifier
1528209079
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
72248 Issued in AK
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

Updated by the provider on Oct 21, 2010

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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.