Individual provider Active NPI

Elizabeth Kunder, PT, DPT

  • Pediatric Physical Therapist
  • Anchorage, AK
National Provider Identifier
1629675913
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
183944 Issued in AK
Practice address
6311 Debarr Rd Ste J
Anchorage, AK 99504-1777
Phone
(907) 231-6268
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 183944 AK Primary

Addresses

Primary practice location

6311 Debarr Rd Ste J
Anchorage, AK 99504-1777

Mailing address

6311 Debarr Rd Ste J
Anchorage, AK 99504-1777
Phone (907) 231-6268

Other identifiers 3

IdentifierTypeStateIssuer
183944OtherAKPT LICENSE
1338090OtherTXPT LICENSE
415943601MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
183944AKMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Childrens Therapy Group LTD. Physical Therapist PastSince Oct 1, 2020 Accepting new patients
Kids First Pediatric Therapy Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1629675913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 DEBARR RD STE J",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041777",
            "telephone_number": "907-231-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 DEBARR RD STE J",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041777",
            "telephone_number": "907-231-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDER",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AK",
            "license": "183944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "183944",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1338090",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415943601",
            "state": "TX"
        }
    ],
    "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 Jan 10, 2022; 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.