Active NPI
Joseph Matthew Cryderman
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1619854460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5701 Lake Otis Pkwy Ste 100
Anchorage, AK 99507-1778 - Phone
- (907) 277-3422
- NPI assigned
- Aug 21, 2025
- 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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
5701 Lake Otis Pkwy Ste 100
Anchorage, AK 99507-1778
Mailing address
3923 S 238TH St
Kent, WA 98032-2852
Phone (720) 955-3907
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1619854460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 S 238TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980322852",
"telephone_number": "720-955-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 LAKE OTIS PKWY STE 100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071778",
"telephone_number": "907-277-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRYDERMAN",
"first_name": "JOSEPH",
"middle_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"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 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.