Organization Active NPI

Arctic Physical Therapy and Rehabilitation Unalaska LLC

  • Physical Therapy Clinic/Center
  • Dutch Harbor, AK
National Provider Identifier
1720326895
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ARCTIC PHYSICAL THERAPY AND REHABILITATION UNALASKA LLC
Practice address
2029 Airport Beach Rd
Dutch Harbor, AK 99690
Phone
(907) 581-2204
Fax
(907) 451-7244
NPI assigned
Jan 24, 2013
Last updated
Sep 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Robert E Lewis
Title
Owner
Phone
(206) 459-4108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X AK
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2029 Airport Beach Rd
Dutch Harbor, AK 99690

Mailing address

1150 S Colony Way Ste 3
Palmer, AK 99645-6972
Phone (907) 250-7246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1720326895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY STE 3",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456972",
            "telephone_number": "907-250-7246",
            "fax_number": "907-451-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 AIRPORT BEACH RD",
            "city": "DUTCH HARBOR",
            "state": "AK",
            "postal_code": "99690",
            "telephone_number": "907-581-2204",
            "fax_number": "907-451-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC PHYSICAL THERAPY AND REHABILITATION UNALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-459-4108"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dutch Harbor, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.