Building Blocks Occupational Therapy, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1106 Issued in AK

Legal business name

BUILDING BLOCKS OCCUPATIONAL THERAPY, INC

Practice address

398 Hamilton Ave
Fairbanks, AK 99701-4760

Phone

(907) 374-4911

Fax

(907) 374-4934

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Traci Lynn Roon, PT

Title

Physical Therapist/Owner

Phone

(907) 374-4911

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1558539122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 HAMILTON AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013537",
            "telephone_number": "907-374-4911",
            "fax_number": "907-374-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 HAMILTON AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014760",
            "telephone_number": "907-374-4911",
            "fax_number": "907-374-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS OCCUPATIONAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "ROON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "907-374-4911",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021147",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Rose Bucholtz
• Rebecca Lin Buckles
• Victoria Buckmeier
• Kevin Buffham
• Nathaniel James Buffington, MD
• Building Blocks Physical Therapy, Inc
• Building Blocks Rehab
• Building Blocks Speech Therapy, LLC
• Angela Buisman
• Holly Buller

• Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.