Eric Nathan Giesen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

452 Issued in AK

Practice address

1700 E Bogard Rd
Suite B-203
Wasilla, AK 99654-6563

Phone

(907) 376-4325

Fax

(907) 376-2365

NPI assigned

Aug 17, 2011

Last updated

Aug 17, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Excel Physical Therapy Limited Partnership

  • Physical Therapist
  • Wasilla, AK
  • NPI 1063763704
  NPD (past)
• Excel Physical Therapy Limited Partnership

  • Physical Therapist
  • Wasilla, AK
  • NPI 1730131467
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1932489382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD",
            "address_2": "SUITE B-203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-376-4325",
            "fax_number": "907-376-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD",
            "address_2": "SUITE B-203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-376-4325",
            "fax_number": "907-376-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESEN",
        "first_name": "ERIC",
        "middle_name": "NATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Gianopoulos
• Steven G. Gianopoulos, D.M.D.
• Tara Gibbs
• Miles J Gibson
• Deborah Giedosh
• Gift of Gab Speech Therapy, LLC
• Amanda Gillette, BCBA
• Michelle Gilley, CPM, LM, CDM
• Gypsy Gillum
• Terri Lynn Girmschied

• 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 Aug 17, 2011; 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.