NPIMap

Organization Active NPI

Arctic Rehabilitation and Physical Therapy Homer

  • Physical Therapy Clinic/Center
  • Homer, AK
National Provider Identifier
1831848530
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ARCTIC REHABILITATION AND PHYSICAL THERAPY HOMER
Practice address
345 Sterling Hwy Ste 102a
Homer, AK 99603-7820
Phone
(907) 435-0526
Fax
(907) 435-0527
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Walter Campbell, DC
Title
Owner
Phone
(907) 250-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

345 Sterling Hwy Ste 102a
Homer, AK 99603-7820

Mailing address

1150 S Colony Way Ste 3-226
Palmer, AK 99645-6967

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220819002042 AK Part B Supplier - Clinic/Group Practice 3678956802 Receives reassigned benefits from 4 practitioners
Practice locations: Homer, AK

National Provider Directory

National Provider Directory

Locations

345 Sterling Hwy
Ste 104
Homer, AK 99603
Phone (907) 235-7221

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1831848530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY STE 3-226",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 STERLING HWY STE 102A",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037820",
            "telephone_number": "907-435-0526",
            "fax_number": "907-435-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC REHABILITATION AND PHYSICAL THERAPY HOMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-250-7246",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.