NPIMap

Organization Active NPI

North Pole Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • North Pole, AK
National Provider Identifier
1639238694
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
NORTH POLE PHYSICAL THERAPY, INC
Practice address
157 Lewis St
North Pole, AK 99705-7699
Phone
(907) 488-4978
Fax
(907) 488-4976
NPI assigned
Dec 6, 2006
Last updated
Apr 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Alec KayNPI 1356455844
Title
Owner/Physical Therapy
Phone
(907) 488-4978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

157 Lewis St
North Pole, AK 99705-7699

Mailing address

157 Lewis St
North Pole, AK 99705-7699
Phone (907) 488-4978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001298 AK Part B Supplier - Clinic/Group Practice 7416940390 Receives reassigned benefits from 23 practitioners
Practice locations: Fairbanks, AK; North Pole, AK

National Provider Directory

National Provider Directory

Locations

157 Lewis St
North Pole, AK 99705
Phone (907) 488-4978

167 S Santa Claus Ln
Ste B
North Pole, AK 99705
Phone (907) 268-6644

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1639238694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 LEWIS ST",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057699",
            "telephone_number": "907-488-4978",
            "fax_number": "907-488-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 LEWIS ST",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057699",
            "telephone_number": "907-488-4978",
            "fax_number": "907-488-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POLE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "ALEC",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPY",
        "authorized_official_telephone_number": "907-488-4978"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Pole, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.