Individual provider Active NPI

Nicole M Harms

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1639730419
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
147205 Issued in AK
Practice address
1200 Airport Heights Dr Ste 170
Anchorage, AK 99508-2986
Phone
(907) 562-2118
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 147205 AK Primary

Addresses

Primary practice location

1200 Airport Heights Dr Ste 170
Anchorage, AK 99508-2986

Mailing address

5102 Twilight Dr
Spearfish, SD 57783-6313
Phone (605) 641-4815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717002783 AK Practitioner - Physical Therapist in Private Practice 1658606322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reger Enterprises, LLCGroup PAC ID 5597895987, 4 clinicians

Practice addresses (Care Compare)

510 W Tudor Rd
Suite 10
Anchorage, AK 99503-6649
Phone (907) 677-9112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147205AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Physical Therapy and Rehabilitation Inc. Physical Therapist CurrentSince Jun 25, 2019 Accepting new patients
Reger Enterprises, LLC CurrentSince Jul 20, 2020 Accepting new patients

Locations

1200 Airport Heights Dr
Ste 170
Anchorage, AK 99508
Phone (907) 562-2118

510 W Tudor Rd
Ste 10
Anchorage, AK 99503
Phone (907) 677-9112

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1639730419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 TWILIGHT DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577836313",
            "telephone_number": "605-641-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 170",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082986",
            "telephone_number": "907-562-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMS",
        "first_name": "NICOLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "147205",
            "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 Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.