Active NPI
Teresa Gool
- Physical Therapist
- Palmer, AK
National Provider Identifier
1871950824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1044
- Practice address
- 1901 N Hemmer Rd
Ste 209
Palmer, AK 99645-9690 - Phone
- (907) 745-2727
- Fax
- (907) 746-8707
- NPI assigned
- Jan 21, 2016
- Last updated
- Jan 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 1044 | AK | Primary |
Addresses
Primary practice location
1901 N Hemmer Rd
Ste 209
Palmer, AK 99645-9690
Mailing address
PO Box 871027
Wasilla, AK 99687-1027
Phone (907) 373-3734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1044 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pan Alaska Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Wasilla Physical Therapy
- Physical Therapist
- Wasilla, AK
- NPI 1467523779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1871950824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 871027",
"city": "WASILLA",
"state": "AK",
"postal_code": "996871027",
"telephone_number": "907-373-3734",
"fax_number": "907-746-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N HEMMER RD",
"address_2": "STE 209",
"city": "PALMER",
"state": "AK",
"postal_code": "996459690",
"telephone_number": "907-745-2727",
"fax_number": "907-746-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOL",
"first_name": "TERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "1044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.