Kelsey Coolidge Boardman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

3831 Piper St Ste S-320
Anchorage, AK 99508-4680

Phone

(907) 563-3145

NPI assigned

Dec 31, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1902445489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 WILLIAMS ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084535",
            "telephone_number": "907-952-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST STE S-320",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084680",
            "telephone_number": "907-563-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLIDGE BOARDMAN",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Cook, CRT
• Shady Cook
• Sandra Lynne Cooke
• Shawna Cooke, FNP
• Allyssa Cooley
• Shelley Ann Coolidge, RN
• Keith C Coombs, DDS MS
• Beth A Coomey, CCC SLP
• Christopher S Coon, NP-C
• Dahvion Cooper

• All providers in Anchorage, AK
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.