Active NPI
Wesley Brant Minton, DPT
- Physical Therapist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 125841
- Practice address
- 3400 Latouche St Ste 200
Anchorage, AK 99508-4208 - Phone
- (907) 563-2122
- Fax
- (907) 563-2123
- NPI assigned
- Sep 5, 2017
- Last updated
- Sep 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 125841 | AK | Primary |
Addresses
Primary practice location
3400 Latouche St Ste 200
Anchorage, AK 99508-4208
Mailing address
1700 E Bogard Rd Ste B203
Wasilla, AK 99654-6570
Phone (907) 376-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 W Dimond Blvd
Suite 101
Anchorage, AK 99515-1907
Phone (907) 748-0022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125841 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denali Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Progressive Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
135 W Dimond Blvd
Ste 101
Anchorage, AK 99515
Phone (907) 748-0022
3400 Latouche St
Ste 200
Anchorage, AK 99508
Phone (907) 563-2122
360 Boniface Pkwy
Unit A26
Anchorage, AK 99504
Phone (907) 563-2141
718 K St
Ste D
Anchorage, AK 99501
Phone (907) 748-0022
809 S Chugach St
Ste 1
Palmer, AK 99645
Phone (907) 745-2575
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Anchorage, AK
- NPI 1780901793
-
- Physical Therapist
- Anchorage, AK
- NPI 1558568766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1851819429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E BOGARD RD STE B203",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546570",
"telephone_number": "907-376-2203",
"fax_number": "907-376-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LATOUCHE ST STE 200",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084208",
"telephone_number": "907-563-2122",
"fax_number": "907-563-2123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTON",
"first_name": "WESLEY",
"middle_name": "BRANT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "125841",
"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 Sep 5, 2017; 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.