NPIMap

Organization Active NPI

Everard Physical Therapy, LLC

Doing business as Seethaler Physical Therapy

  • Physical Therapy Clinic/Center
  • Anchorage, AK
National Provider Identifier
1578736906
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
911981 Issued in AK
Legal business name
EVERARD PHYSICAL THERAPY, LLC
Doing business as
Seethaler Physical Therapy
Practice address
2704 E Tudor Rd
Anchorage, AK 99507-1136
Phone
(907) 561-5006
Fax
(907) 562-2398
NPI assigned
Apr 7, 2008
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Joel Everard, PTNPI 1669589396
Title
Member/Manager, PT
Phone
(907) 561-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 911981 AK Primary

Addresses

Primary practice location

2704 E Tudor Rd
Anchorage, AK 99507-1136

Mailing address

2704 E Tudor Rd
Anchorage, AK 99507-1136
Phone (907) 561-5006

Other names 1

  • Seethaler Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080519000717 AK Part B Supplier - Clinic/Group Practice 8325117260 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

2704 E Tudor Rd
Anchorage, AK 99507
Phone (907) 561-5006

Practitioners & affiliated clinicians

Practitioners 3

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": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1578736906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071136",
            "telephone_number": "907-561-5006",
            "fax_number": "907-562-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071136",
            "telephone_number": "907-561-5006",
            "fax_number": "907-562-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERARD PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "EVERARD",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MEMBER/MANAGER, PT",
        "authorized_official_telephone_number": "907-561-5006",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "911981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seethaler Physical Therapy",
            "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 Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.