Chugach Physical Therapy Inc

Organization Active NPI Physical Therapist · Anchorage, AK

NPI 1932140308 · NPPES record last updated Oct 1, 2019

Key facts

NPI
1932140308
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
CHUGACH PHYSICAL THERAPY INC
Practice address
2740 Lake Otis Pkwy
Anchorage, AK 99508-4141
Phone
(907) 743-3310
Fax
(907) 272-8164
NPI assigned
Jun 9, 2006
Organization subpart
No

Authorized official

Name
Lezlie Robinson
Title
Office/Billing Manager
Phone
(907) 743-3310

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040302001274 AK Part B Supplier - Clinic/Group Practice 4587551700 Receives reassigned benefits from 13 practitioners
Practice locations: Anchorage, AK

National Provider Directory

Locations

2740 Lake Otis Pkwy
Anchorage, AK 99508
Phone (907) 743-3310

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X AK Yes

Addresses

Primary practice location

2740 Lake Otis Pkwy
Anchorage, AK 99508-4141

Mailing address

2740 Lake Otis Pkwy
Anchorage, AK 99508-4141
Phone (907) 743-3310

Other identifiers

IdentifierTypeStateIssuer
1691679MedicaidAK
1031318MedicaidAK
A1344OtherPREMERA BLUE CROSS
TC3984MedicaidAK

Other providers in Anchorage, AK

All providers in Anchorage, AK · Physical Therapist in Alaska

Sources for this page

Verify at the official NPI Registry.