Christian Michael Pankhurst, DPT, NCS

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

134694 Issued in AK

Practice address

4201 Tudor Centre Dr # 2
Anchorage, AK 99508-5914

Phone

(907) 729-6683

NPI assigned

Aug 4, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1144999145
  NPD
• Southcentral Foundation

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1255881637
  NPD (past)
• Southcentral Foundation

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1386680056
  NPD (past)

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1740917145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TUDOR CENTRE DR # 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085914",
            "telephone_number": "907-729-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKHURST",
        "first_name": "CHRISTIAN",
        "middle_name": "MICHAEL",
        "credential": "DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AK",
            "license": "134694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpankhurst@southcentralfoundation.com",
            "affiliation": "Y",
            "affiliationName": "Southcentral Foundation",
            "address_1": "4201 Tudor Centre Dr # 2",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995085914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yiwei Pan, DPT
• Yifan Pang, MD
• Avery P Pangalangan
• Jennifer Marie Pangalangan, PHARMD.
• Kishya Pangelinan
• Viva Pannor-Brown
• Lia Diohen Pansalin
• David James Pantaleone
• Elizabeth Susan Pantaleone, M.S. CLINICAL PSYCH
• Tracie Ann Panting, NNP

• Neurology Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Neurology Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.