NPIMap

Organization Active NPI

Healthwise Physical Therapy Inc

Doing business as Healthwise Physical Therapy

  • Physical Therapist
  • Eagle River, AK
National Provider Identifier
1740419548
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1527 Issued in AK
Legal business name
HEALTHWISE PHYSICAL THERAPY INC
Doing business as
Healthwise Physical Therapy
Practice address
11421 Old Glenn Hwy
Ste 100
Eagle River, AK 99577-7729
Phone
(907) 694-2273
Fax
(907) 694-2289
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Gina Herron
Title
Office Manager
Phone
(907) 622-2502

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1527 AK Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1290 AK
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 337 AK

Addresses

Primary practice location

11421 Old Glenn Hwy
Ste 100
Eagle River, AK 99577-7729

Mailing address

11421 Old Glenn Hwy
Ste 100
Eagle River, AK 99577-7729
Phone (907) 694-2273

Other identifiers 3

IdentifierTypeStateIssuer
PT11942MedicaidAK
PT2491MedicaidAK
PT2792MedicaidAK

Other names 1

  • Healthwise Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

11421 Old Glenn Hwy
Ste 100
Eagle River, AK 99577
Phone (907) 622-2500

11421 Old Glenn Hwy
Ste 10
Eagle River, AK 99577
Phone (907) 694-2273

Practitioners & affiliated clinicians

Practitioners 11

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": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1740419548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11421 OLD GLENN HWY",
            "address_2": "STE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777729",
            "telephone_number": "907-694-2273",
            "fax_number": "907-694-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11421 OLD GLENN HWY",
            "address_2": "STE 100",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777729",
            "telephone_number": "907-694-2273",
            "fax_number": "907-694-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "907-622-2502"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1527",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1290",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT11942",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT2491",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT2792",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthwise Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.