David Disselbrett, MSPT, JSCC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

AK1191 Issued in AK

Practice address

5185 W 80TH Ave
Anchorage, AK 99502-4114

Phone

(907) 351-2052

NPI assigned

Mar 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Body Systems Limited Liability Company

  dba Body Systems Physical Therapy

  • Physical Therapy Clinic/Center
  • Anchorage, AK
  • NPI 1316440100
  NPD Authorized official
• United Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1609888130
  NPD

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881864692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 W 80TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024114",
            "telephone_number": "907-351-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 W 80TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024114",
            "telephone_number": "907-351-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISSELBRETT",
        "first_name": "DAVID",
        "credential": "MSPT, JSCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "AK1191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT4016",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erinn Dirth, DC
• Carol Frances Disalvi
• Discovery Chiropractic LLC
• Beverly Dishman
• David Eugene Dishman
• Michael Paul Distante, PHARMD
• Gatwech Chuol Dit
• Nyachang Dit
• Courtney J Ditgen, DPT
• Steven A Ditgen, DPT

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.