Individual provider Active NPI

Deborah Kay Rosenfeld, PHYSICAL THERAPIST

  • Physical Therapist
  • Metlakatla, AK
National Provider Identifier
1801904974
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
791 Issued in AK
Practice address
563 Brendible Street
Metlakatla, AK 99926
Phone
(907) 886-4741
NPI assigned
Aug 28, 2006
Last updated
Aug 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 791 AK Primary

Addresses

Primary practice location

563 Brendible Street
Metlakatla, AK 99926

Mailing address

PO Box 439
563 Brendible Street
Metlakatla, AK 99926-0356
Phone (907) 886-4741

Other identifiers 1

IdentifierTypeStateIssuer
PT8530MedicaidAK

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

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1801904974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "address_2": "563 BRENDIBLE STREET",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "999260356",
            "telephone_number": "907-886-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BRENDIBLE STREET",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "99926",
            "telephone_number": "907-886-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT8530",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metlakatla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.