Organization Active NPI

Alaska Pediatric Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Anchorage, AK
National Provider Identifier
1962657056
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1808 Issued in AK
Legal business name
ALASKA PEDIATRIC PHYSICAL THERAPY LLC
Practice address
4325 Laurel St
Suite 102
Anchorage, AK 99508-5338
Phone
(907) 727-5624
Fax
(907) 929-4839
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Jessica Leigh Huey, PTNPI 1952439390
Title
Physical Therapist
Phone
(907) 727-5624

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1808 AK Primary

Addresses

Primary practice location

4325 Laurel St
Suite 102
Anchorage, AK 99508-5338

Mailing address

10201 Jackpot Bay Cir
Anchorage, AK 99515-2411
Phone (907) 727-5624

Other identifiers 2

IdentifierTypeStateIssuer
23391MedicaidAK
2339MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1962657056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 JACKPOT BAY CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152411",
            "telephone_number": "907-727-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 LAUREL ST",
            "address_2": "SUITE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085338",
            "telephone_number": "907-727-5624",
            "fax_number": "907-929-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA PEDIATRIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "907-727-5624",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "1808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23391",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339",
            "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 Nov 18, 2008; 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.