Individual provider Active NPI

Taylor Adams, PT, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1932622909
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
118538 Issued in AK
Practice address
4600 Business Park Blvd # D-24
Anchorage, AK 99503-7142
Phone
(907) 561-1478
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170816001890 AK Practitioner - Physical Therapist in Private Practice 4385916055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports and Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince Jun 21, 2017 Accepting new patients
Alaska Pediatric Therapy PastSince May 24, 2020 Accepting new patients

Locations

11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 118538 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

4600 Business Park Blvd # D-24
Anchorage, AK 99503-7142

Mailing address

4600 Business Park Blvd # D-24
Anchorage, AK 99503-7142
Phone (907) 561-1478

Other practice location 1

11260 Old Seward Hwy
Anchorage, AK 99515-3098
Phone (907) 341-5555

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932622909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BUSINESS PARK BLVD # D-24",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037142",
            "telephone_number": "907-561-1478",
            "fax_number": "888-552-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BUSINESS PARK BLVD # D-24",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037142",
            "telephone_number": "907-561-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11260 Old Seward Hwy",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995153098",
            "country_code": "US",
            "telephone_number": "907-341-5555",
            "fax_number": "907-334-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "118538",
            "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 21, 2022; 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.