Individual provider Active NPI

Nicholas Cimperman, PTA

  • Physical Therapy Assistant
  • Anchorage, AK
National Provider Identifier
1639869084
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
202819 Issued in AK
Practice address
1980 W Benson Blvd
Anchorage, AK 99517-1913
Phone
(907) 375-5555
NPI assigned
May 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 202819 AK Primary

Addresses

Primary practice location

1980 W Benson Blvd
Anchorage, AK 99517-1913

Mailing address

7045 Arnold Ave Unit D
Jber, AK 99506-1119
Phone (814) 807-2263

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
202819AKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports and Orthopedic Physical Therapy, LLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

1980 W Benson Blvd
Anchorage, AK 99517
Phone (907) 301-8609

Organizations & group practices 1

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1639869084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 ARNOLD AVE UNIT D",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995061119",
            "telephone_number": "814-807-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 W BENSON BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171913",
            "telephone_number": "907-375-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMPERMAN",
        "first_name": "NICHOLAS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "202819",
            "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 May 9, 2023; 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.