Individual provider Active NPI

Kjell B Risung, P.T

  • Orthopedic Physical Therapist
  • Soldotna, AK
National Provider Identifier
1821211616
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
535 Issued in AK
Practice address
Frontier Therapy Services
108 East Corral
Soldotna, AK 99669
Phone
(907) 260-5893
Fax
(907) 260-5814
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 535 AK Primary

Addresses

Primary practice location

Frontier Therapy Services
108 East Corral
Soldotna, AK 99669

Mailing address

Frontier Therapy Services
108 East Corral
Soldotna, AK 99669
Phone (907) 260-5893

Other identifiers 1

IdentifierTypeStateIssuer
TC851MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140910001741 AK Practitioner - Physical Therapist in Private Practice 6709869217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

10325 Old Seward Hwy
Suite 201
Anchorage, AK 99515-2628
Phone (907) 522-1088

33455 Sterling Hwy
Sterling, AK 99672-9200
Phone (907) 262-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
535AKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Orthopedic Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jul 27, 2015 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jul 27, 2015 Accepting new patients
Cable & McCormick Apc Past Accepting new patients

Locations

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821211616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FRONTIER THERAPY SERVICES",
            "address_2": "108 EAST CORRAL",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-260-5893",
            "fax_number": "907-260-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FRONTIER THERAPY SERVICES",
            "address_2": "108 EAST CORRAL",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-260-5893",
            "fax_number": "907-260-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISUNG",
        "first_name": "KJELL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AK",
            "license": "535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TC851",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.