Organization Active NPI

Authentic Living, LLC

Doing business as Authentic Living

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1730856519
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AUTHENTIC LIVING, LLC
Doing business as
Authentic Living
Authentic Living, LLC
Practice address
4440 Woronzof Dr
Anchorage, AK 99517-1497
Phone
(907) 229-5378
NPI assigned
Aug 27, 2021
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Breanna Winters JamesNPI 1457858623
Title
Occupational Therapist
Phone
(907) 229-5378

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)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

4440 Woronzof Dr
Anchorage, AK 99517-1497

Mailing address

4440 Woronzof Dr
Anchorage, AK 99517-1497
Phone (907) 229-5378

Other names 2

  • Authentic Living Doing business as
  • Authentic Living, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214001585 AK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658764741 Receives reassigned benefits from 4 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1730856519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 WORONZOF DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171497",
            "telephone_number": "907-229-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 WORONZOF DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171497",
            "telephone_number": "907-229-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "WINTERS",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "907-229-5378"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Authentic Living, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 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.