South Anchorage Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

408692 Issued in AK

Legal business name

SOUTH ANCHORAGE PHYSICAL THERAPY INC

Practice address

300 E Dimond Blvd Ste 16
Anchorage, AK 99515-1949

Phone

(907) 868-8686

Fax

(907) 868-3687

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Cheryl K Myers, DPT, DMT OCSNPI 1649429960

Title

President

Phone

(907) 868-8686

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Kay Myers, PT, DPT, DMT, OCS

  • Specialist
  • Anchorage, AK
  • NPI 1649429960
  NPD (past) Authorized official
• Bryan Kirkpatrick, PT, MS, OCS

  • Specialist
  • Anchorage, AK
  • NPI 1083863302
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609915347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E DIMOND BLVD STE 16",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151949",
            "telephone_number": "907-868-8686",
            "fax_number": "907-868-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E DIMOND BLVD STE 16",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151949",
            "telephone_number": "907-868-8686",
            "fax_number": "907-868-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ANCHORAGE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-868-8686",
        "authorized_official_credential": "DPT, DMT OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "408692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sierra Southam, CTRS

• Physical Therapy Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.