Raven's Song Rehabilitation, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1004364 Issued in AK

Legal business name

RAVEN'S SONG REHABILITATION, LLC

Practice address

6811 W Scatters Way
Wasilla, AK 99623-0878

Phone

(907) 315-7949

Fax

(877) 220-7510

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Diana Dawn Ferguson-Wheeler, PT

Title

Owner

Phone

(907) 315-7949

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kathryn Stewart, PTA

  • Physical Therapy Assistant
  • Wasilla, AK
  • NPI 1508233404
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1952717092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 W SCATTERS WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230878",
            "telephone_number": "907-315-7949",
            "fax_number": "877-220-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 W SCATTERS WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230878",
            "telephone_number": "907-315-7949",
            "fax_number": "877-220-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN'S SONG REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "FERGUSON-WHEELER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-315-7949",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "1004364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A Rasmussen, LCSW
• Makayla Rasmussen
• Ashley Rath
• Denise Gail Rauch
• Emily Raup
• Beverly Jeanette Ray, MPC
• Ginger Ray
• Steven Ray
• Esther Rayah
• Jessica Lynn Razink, LMT

• Physical Therapy Clinic/Center in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.