Active NPI
Mark A Plunkett, OTR/L, LPTA, CHT
- Hand Occupational Therapist
- Eagle River, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- PHYO2299
- Practice address
- 17025 Snowmobile LN Ste 102
Eagle River, AK 99577-7044 - Phone
- (907) 689-3145
- Fax
- (833) 464-5196
- NPI assigned
- Sep 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OTR-462 | WY | |
| Hand Occupational Therapist | 225XH1200X | PHYO2299 | AK | Primary |
Addresses
Primary practice location
17025 Snowmobile LN Ste 102
Eagle River, AK 99577-7044
Mailing address
4100 Lake Otis Pkwy Ste 108
Anchorage, AK 99508-5230
Phone (907) 563-3145
Other practice location 1
650 N Shoreline Dr
Suite 101
Wasilla, AK 99654-6677
Phone (907) 622-6363
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHYO2299 | AK | MD | Hand Occupational Therapist |
| OTR-462 | WY | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Fracture and Orthopaedic Clinic, PC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Anchorage Fracture and Orthopaedic Clinic, PC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Alliance Physical Therapy, LLC | Past | Accepting new patients |
Locations
12350 Industry Way
Ste 110
Anchorage, AK 99515
Phone (907) 206-9114
4100 Lake Otis Pkwy
Ste 108
Anchorage, AK 99508
Phone (907) 339-2455
3831 Piper St
Ste 220
Anchorage, AK 99508
17025 Snowmobile Ln
Ste 102
Eagle River, AK 99577
Phone (907) 357-2800
3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332
3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625
Interoperability endpoints
- https://api.platform.athenahealth.com/27294/brand/1/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1285677054
-
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1831774298
-
- Family Medicine Physician
- Kenai, AK
- NPI 1013551456
-
- Clinical Medical Laboratory
- Wasilla, AK
- NPI 1467167585
-
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
-
- Otolaryngology Physician
- Anchorage, AK
- NPI 1922862986
-
- Physical Therapist
- Rock Springs, WY
- NPI 1700081239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1609971456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY STE 108",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085230",
"telephone_number": "907-563-3145",
"fax_number": "833-464-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17025 SNOWMOBILE LN STE 102",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777044",
"telephone_number": "907-689-3145",
"fax_number": "833-464-5196"
}
],
"practiceLocations": [
{
"address_1": "650 N Shoreline Dr",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996546677",
"country_code": "US",
"telephone_number": "907-622-6363",
"fax_number": "907-376-6366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLUNKETT",
"first_name": "MARK",
"middle_name": "A",
"credential": "OTR/L, LPTA, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WY",
"license": "OTR-462",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AK",
"license": "PHYO2299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.