Organization Active NPI

Calhoon Orthopaedic Rehabilitation & Exercise

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1699344572
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CALHOON ORTHOPAEDIC REHABILITATION & EXERCISE
Practice address
615 E 82ND Ave Ste B1
Anchorage, AK 99518-3100
Phone
(907) 250-3674
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Sapphire Layos-Wagaman
Title
Credentialing Officer
Phone
(907) 459-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

615 E 82ND Ave Ste B1
Anchorage, AK 99518-3100

Mailing address

615 E 82ND Ave Ste B1
Anchorage, AK 99518-3100
Phone (907) 250-3674

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slayos@ghmb.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210824003511 AK Part B Supplier - Clinic/Group Practice 1658776919 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

615 E 82nd Ave
Ste B1
Anchorage, AK 99518
Phone (907) 250-3674

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1699344572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE STE B1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183100",
            "telephone_number": "907-250-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE STE B1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183100",
            "telephone_number": "907-250-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOON ORTHOPAEDIC REHABILITATION & EXERCISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "LAYOS-WAGAMAN",
        "authorized_official_first_name": "SAPPHIRE",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "907-459-8200"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slayos@ghmb.net",
            "affiliation": "N",
            "address_1": "909 Cushman St Ste 206",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997014668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 23, 2021; 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.