Active NPI
Marjorie Ackerman
- Physical Therapist
- Skagway, AK
National Provider Identifier
1770974008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 578
- Practice address
- 350 14TH Ave
Skagway, AK 99840-0302 - Phone
- (907) 983-2255
- NPI assigned
- Feb 9, 2015
- Last updated
- Feb 9, 2015
- 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 Therapist | 225100000X | 578 | AK | Primary |
Addresses
Primary practice location
350 14TH Ave
Skagway, AK 99840-0302
Mailing address
781 Main St.
Skagway, AK 99840-0302
Phone (559) 679-7746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 578 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Municipality of Skagway | Current | Accepting new patients |
Interoperability endpoints
- margie.ackerman.1@15635.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dahl Memorial Clinic
- Federally Qualified Health Center (FQHC)
- Skagway, AK
- NPI 1063574200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1770974008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 MAIN ST.",
"city": "SKAGWAY",
"state": "AK",
"postal_code": "998400302",
"telephone_number": "559-679-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 14TH AVE",
"city": "SKAGWAY",
"state": "AK",
"postal_code": "998400302",
"telephone_number": "907-983-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "MARJORIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skagway, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.