Patrick M Minder, PT, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1522 Issued in AK

Practice address

650 N Shoreline Dr Ste 101
Wasilla, AK 99654-6677

Phone

(907) 376-6363

Fax

(907) 376-6366

NPI assigned

Apr 7, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Quest Therapy IncGroup PAC ID 5597744037, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Health Quest Therapy, Inc.

  • Occupational Therapy Assistant
  • Wasilla, AK
  • NPI 1982727640

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1891938866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N SHORELINE DR STE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546677",
            "telephone_number": "907-376-6363",
            "fax_number": "907-376-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N SHORELINE DR STE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546677",
            "telephone_number": "907-376-6363",
            "fax_number": "907-376-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDER",
        "first_name": "PATRICK",
        "middle_name": "M",
        "credential": "PT, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Michelle Millican, SLP
• Jonathan Willis Millington
• Hiram Mills
• Mind Body Connection, LLC
• Mind, Body & Spirit Assisted Living LLC
• Savannah Minear
• Jaron Miner, D.O.
• Samantha Nikol Miner, PA-C
• Giulietta Minerva
• Robin Mingo

• Physical Therapist in Wasilla, AK
• Providers in Wasilla, 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 15, 2019; 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.

Verify at the official NPI Registry.