Active NPI
Kristin Horton Spanaus, PTA
- Physical Therapy Assistant
- Anchorage, AK
National Provider Identifier
1750040382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 186995
- Practice address
- 1200 Airport Heights Dr Ste 170
Anchorage, AK 99508-2986 - Phone
- (907) 562-2118
- Fax
- (907) 562-2128
- NPI assigned
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 186995 | AK | Primary |
Addresses
Primary practice location
1200 Airport Heights Dr Ste 170
Anchorage, AK 99508-2986
Mailing address
1337 Juneau Ave Unit C
Anchorage, AK 99505
Phone (970) 799-4869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186995 | Other | AK | PTA LICENSE |
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 |
|---|---|---|---|
| 186995 | AK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1750040382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 JUNEAU AVE UNIT C",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99505",
"telephone_number": "970-799-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 AIRPORT HEIGHTS DR STE 170",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082986",
"telephone_number": "907-562-2118",
"fax_number": "907-562-2128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANAUS",
"first_name": "KRISTIN",
"middle_name": "HORTON",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "AK",
"license": "186995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "186995",
"state": "AK"
}
],
"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 Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.