Organization Active NPI

Rehabilitation & Sports Medicine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Anchorage, AK
National Provider Identifier
1609994052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REHABILITATION & SPORTS MEDICINE, LLC
Practice address
1200 Airport Heights Dr
Suite 245
Anchorage, AK 99508-2943
Phone
(907) 677-7440
Fax
(907) 677-7441
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raymond E. Beard
Title
Practice Manager
Phone
(907) 677-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1200 Airport Heights Dr
Suite 245
Anchorage, AK 99508-2943

Mailing address

PO Box 771216
Eagle River, AK 99577-1216
Phone (907) 677-7440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609994052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771216",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995771216",
            "telephone_number": "907-677-7440",
            "fax_number": "907-677-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR",
            "address_2": "SUITE 245",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082943",
            "telephone_number": "907-677-7440",
            "fax_number": "907-677-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION & SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "907-677-7440"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.