Active NPI
Myers Physical Therapy LLC
- Physical Therapy Clinic/Center
- Fairbanks, AK
National Provider Identifier
1720520935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MYERS PHYSICAL THERAPY LLC
- Practice address
- 158 Frog Pond Cir
Fairbanks, AK 99712-1244 - Phone
- (907) 251-5472
- Fax
- (907) 600-1823
- NPI assigned
- Nov 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Lee Myers, PT
- Title
- Managing Member
- Phone
- (907) 987-4584
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
158 Frog Pond Cir
Fairbanks, AK 99712-1244
Mailing address
158 Frog Pond Cir
Fairbanks, AK 99712-1244
Phone (907) 251-5472
Other names 1
- Myers Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
418 3rd St
Ste 1B
Fairbanks, AK 99701
Phone (907) 374-0225
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fairbanks, AK
- NPI 1083647598
-
- Physical Therapist
- Fairbanks, AK
- NPI 1265718548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1720520935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 FROG POND CIR",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997121244",
"telephone_number": "907-251-5472",
"fax_number": "907-600-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 FROG POND CIR",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997121244",
"telephone_number": "907-251-5472",
"fax_number": "907-600-1823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYERS PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-07",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "907-987-4584",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Myers Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Myers Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.