Individual provider Active NPI

Laura Elizabeth Gerber, MPT

  • Physical Therapist
  • Soldotna, AK
National Provider Identifier
1649476417
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1551 Issued in AK
Practice address
221 W Marydale Ave
Soldotna, AK 99669-7420
Phone
(907) 262-2596
NPI assigned
Jun 26, 2007
Last updated
Dec 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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 1551 AK Primary

Addresses

Primary practice location

221 W Marydale Ave
Soldotna, AK 99669-7420

Mailing address

221 W Marydale Ave
Soldotna, AK 99669-7420
Phone (907) 262-2596

Other identifiers 1

IdentifierTypeStateIssuer
PT1770MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825000441 AK Practitioner - Physical Therapist in Private Practice 4880668433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Aquatic Therapy, Inc.Group PAC ID 6800864604, 13 clinicians

Practice addresses (Care Compare)

35932 Kenai Spur Hwy
Soldotna, AK 99669-7103
Phone (907) 398-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1551AKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Healthcare PC CurrentSince Dec 1, 2018 Accepting new patients
Independence Healthcare PC CurrentSince Dec 1, 2018 Accepting new patients
Aspen Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

130 S Willow St
Ste 1
Kenai, AK 99611
Phone (907) 262-2596

221 W Marydale Ave
Soldotna, AK 99669
Phone (907) 262-2596

289 N Fireweed St
Ste D
Soldotna, AK 99669
Phone (907) 262-6454

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1649476417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697420",
            "telephone_number": "907-262-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697420",
            "telephone_number": "907-262-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT1770",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.