Denali Mesa Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DENALI MESA CORPORATION

Doing business as

Frontier Therapy Services

Practice address

2421 E Tudor Rd
Ste 103
Anchorage, AK 99507-1128

Phone

(907) 646-9774

Fax

(907) 646-9775

NPI assigned

May 15, 2008

Last updated

Jul 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Kinnebrew

Title

Operations Manager

Phone

(907) 258-8618

Specialties & licenses 1

Addresses

Other names 1

• Frontier Therapy Services Doing business as

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1780851998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E DOWLING RD STE 26",
            "address_2": "ANCHORAGE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181427",
            "telephone_number": "907-258-8618",
            "fax_number": "907-563-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD",
            "address_2": "STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071128",
            "telephone_number": "907-646-9774",
            "fax_number": "907-646-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI MESA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "KINNEBREW",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "907-258-8618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denali Family Services
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• Denali Healthcare Specialists LLC (Denali Centers for Neurology)
• Denali Healthcare Specialists LLC (Sleep Centers of Alaska LLC)
• Denali Medical, Inc.
• Denali Mesa Corporation (Frontier Therapy Services)
• Denali OB-GYN Assoc (Denali OB Gyn Clinic)
• Denali Orthopedis Inc
• Denali Pediatric Dentistry
• Denali Physical Therapy Limited Partnership

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.