Active NPI
Korey Kinney, DPT
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1730934928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 215701
- Practice address
- 4100 Lake Otis Pkwy Ste 106
Anchorage, AK 99508-5230 - Phone
- (907) 563-4115
- NPI assigned
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 215701 | AK | Primary |
Addresses
Primary practice location
4100 Lake Otis Pkwy Ste 106
Anchorage, AK 99508-5230
Mailing address
9014 Dewberry St Apt B
Anchorage, AK 99502-5539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215701 | AK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1730934928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9014 DEWBERRY ST APT B",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995025539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY STE 106",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085230",
"telephone_number": "907-563-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "KOREY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "215701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.