NPIMap

Organization Active NPI

Fireweed Therapy LLC

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1922795277
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FIREWEED THERAPY LLC
Practice address
2610 McRae Rd Unit a
Anchorage, AK 99517-2509
Phone
(907) 312-5344
NPI assigned
Apr 18, 2023
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Alaena K Bateman, MOT, OTR/LNPI 1528698818
Title
Owner
Phone
(206) 468-0383

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
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

2610 McRae Rd Unit a
Anchorage, AK 99517-2509

Mailing address

2610 McRae Rd # a
Anchorage, AK 99517-2509
Phone (907) 312-5344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230504000449 AK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800251489 Receives reassigned benefits from 5 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1922795277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 MCRAE RD # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172509",
            "telephone_number": "907-312-5344",
            "fax_number": "907-531-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 MCRAE RD UNIT A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172509",
            "telephone_number": "907-312-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREWEED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "ALAENA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-468-0383",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.