Active NPI
Eric Speck, MSPT
- Physical Medicine & Rehabilitation Physician
- Sitka, AK
National Provider Identifier
1598895930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1033
- Practice address
- 700 Katlian St Ste E
Sitka, AK 99835-7359 - Phone
- (907) 747-5861
- Fax
- (907) 747-5415
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1033 | AK | Primary |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1033 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1033 | AK | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598895930",
"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": {
"last_name": "SPECK",
"first_name": "ERIC",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AK",
"license": "1033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT1033",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.