Active NPI
Empower Therapeutics LLC
- Physical Rehabilitation Occupational Therapist
- Anchorage, AK
National Provider Identifier
1932856473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- Legal business name
- EMPOWER THERAPEUTICS LLC
- Practice address
- 4050 Lake Otis Pkwy Ste 211
Anchorage, AK 99508-5221 - Phone
- (907) 227-2434
- NPI assigned
- Mar 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha J Russell, ODT; OTR/L
- Title
- Manager
- Phone
- (907) 227-2434
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | Primary |
Addresses
Primary practice location
4050 Lake Otis Pkwy Ste 211
Anchorage, AK 99508-5221
Mailing address
4050 Lake Otis Pkwy Ste 211
Anchorage, AK 99508-5221
Phone (907) 227-2434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225379092 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Empower Therapeutics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- Anchorage, AK
- NPI 1225897069
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Anchorage, AK
- NPI 1225379092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646352000000",
"number": "1932856473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 LAKE OTIS PKWY STE 211",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085221",
"telephone_number": "907-227-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 LAKE OTIS PKWY STE 211",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085221",
"telephone_number": "907-227-2434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER THERAPEUTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-04",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "907-227-2434",
"authorized_official_credential": "ODT; OTR/L"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225379092",
"state": "AK"
}
],
"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 Mar 4, 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.