Organization Active NPI

Mount Susitna Therapeutic Associates, LLC

  • Massage Therapist
  • Eagle River, AK
National Provider Identifier
1861248007
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MOUNT SUSITNA THERAPEUTIC ASSOCIATES, LLC
Practice address
12641 Old Glenn Hwy Ste 202
Eagle River, AK 99577-7040
Phone
(907) 214-1303
Fax
(907) 206-7212
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Rachel C Alexander, LMTNPI 1114471752
Title
Owner
Phone
(907) 214-1303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

12641 Old Glenn Hwy Ste 202
Eagle River, AK 99577-7040

Mailing address

PO Box 770544
Eagle River, AK 99577-0544
Phone (907) 214-1303

National Provider Directory

National Provider Directory

Locations

12641 Old Glenn Hwy
Ste 202
Eagle River, AK 99577
Phone (907) 214-1303

Practitioners & affiliated clinicians

Practitioners 2

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": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1861248007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770544",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995770544",
            "telephone_number": "907-214-1303",
            "fax_number": "907-206-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12641 OLD GLENN HWY STE 202",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777040",
            "telephone_number": "907-214-1303",
            "fax_number": "907-206-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SUSITNA THERAPEUTIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-214-1303",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.