Organization Active NPI

Copper River Native Association

  • Physical Therapist
  • Copper Center, AK
National Provider Identifier
1760907844
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36087 Issued in AK
Legal business name
COPPER RIVER NATIVE ASSOCIATION
Practice address
Mile 111.5 Richardson Hwy
Copper Center, AK 99573-0508
Phone
(907) 822-8847
Fax
(888) 959-2389
NPI assigned
Aug 9, 2017
Last updated
Aug 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Authorized official

Name
Arleen Lenard
Title
Patient Services Director
Phone
(907) 822-8847

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36087 AK
Nutrition Education Nutritionist 133NN1002X 36087 AK
Acupuncturist 171100000X 36087 AK
Physical Therapist 225100000X 36087 AK Primary
Massage Therapist 225700000X 36087 AK

Addresses

Primary practice location

Mile 111.5 Richardson Hwy
Copper Center, AK 99573-0508

Mailing address

PO Box H
Copper Center, AK 99573-0508
Phone (907) 822-8847

National Provider Directory

National Provider Directory
Tax ID family
Ahtna T' Aene Nene'8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1760907844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX H",
            "city": "COPPER CENTER",
            "state": "AK",
            "postal_code": "995730508",
            "telephone_number": "907-822-8847",
            "fax_number": "888-959-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILE 111.5 RICHARDSON HWY",
            "city": "COPPER CENTER",
            "state": "AK",
            "postal_code": "995730508",
            "telephone_number": "907-822-8847",
            "fax_number": "888-959-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER RIVER NATIVE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "LENARD",
        "authorized_official_first_name": "ARLEEN",
        "authorized_official_title_or_position": "PATIENT SERVICES DIRECTOR",
        "authorized_official_telephone_number": "907-822-8847"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "36087",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "AK",
            "license": "36087",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "36087",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "36087",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "36087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copper Center, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.