Active NPI
Kendra Piaskowski
- Physical Therapy Assistant
- Anchorage, AK
National Provider Identifier
1780039123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 106455
- Practice address
- 2440 E Tudor Rd # 338
Anchorage, AK 99507-1185 - Phone
- (907) 830-3592
- NPI assigned
- May 3, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 106455 | AK | Primary |
Addresses
Primary practice location
2440 E Tudor Rd # 338
Anchorage, AK 99507-1185
Mailing address
10656 Flagship Cir
Anchorage, AK 99515-2430
Phone (907) 202-2491
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106455 | AK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1780039123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10656 FLAGSHIP CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995152430",
"telephone_number": "907-202-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 E TUDOR RD # 338",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071185",
"telephone_number": "907-830-3592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIASKOWSKI",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AK",
"license": "106455",
"primary": true
}
],
"identifiers": [],
"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 May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.