NPIMap

Organization Active NPI

Alaska Physical Therapy Specialists, LLC

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1801849211
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
431746 Issued in AK
Legal business name
ALASKA PHYSICAL THERAPY SPECIALISTS, LLC
Practice address
3650 Lake Otis Parkway
Suite 201
Anchorage, AK 99508
Phone
(907) 561-4280
Fax
(907) 561-4282
NPI assigned
May 18, 2006
Last updated
Aug 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Jeffery David Evans, PTNPI 1356392393
Title
Owner
Phone
(907) 561-4280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 431746 AK Primary

Addresses

Primary practice location

3650 Lake Otis Parkway
Suite 201
Anchorage, AK 99508

Mailing address

3650 Lake Otis Parkway
Suite 201
Anchorage, AK 99508
Phone (907) 561-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721000018 AK Part B Supplier - Clinic/Group Practice 6002896198 Receives reassigned benefits from 12 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

3650 Lake Otis Pkwy
Anchorage, AK 99508
Phone (907) 561-4280

3650 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508
Phone (907) 561-1430

4001 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508
Phone (907) 561-1711

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1801849211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PARKWAY",
            "address_2": "SUITE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-4280",
            "fax_number": "907-561-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PARKWAY",
            "address_2": "SUITE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-4280",
            "fax_number": "907-561-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA PHYSICAL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-561-4280",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "431746",
            "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 Aug 29, 2018; 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.

Verify at the official NPI Registry.