Gregory Debnam, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1221 Issued in AK

Practice address

260 Caviar St
A
Kenai, AK 99611-7738

Phone

(907) 283-9016

NPI assigned

Oct 30, 2008

Last updated

Oct 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1811140072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CAVIAR ST",
            "address_2": "A",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117738",
            "telephone_number": "907-283-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CAVIAR ST",
            "address_2": "A",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117738",
            "telephone_number": "907-283-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBNAM",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela T Crawford, R.N.
• Carol Tsuruko Dalton-Doser, DDS
• Christina Dambacher, LMT
• Lacy Daniel, LPC
• Nathaniel John Davis, CDC1
• Amanda Deboer, RDH
• Deborah McCarthy (Moxie Care)
• Hannah Deibert, RDH
• Denali Mesa Corporation (Frontier Therapy Services)
• Laura Denny

• Physical Therapy Assistant in Kenai, AK
• Providers in Kenai, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.