NPIMap

Organization Active NPI

Living Systems Physical Therapy

Doing business as Life Span Support Services

  • Physical Therapy Clinic/Center
  • Anchorage, AK
National Provider Identifier
1962693176
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
314260 Issued in AK
Legal business name
LIVING SYSTEMS PHYSICAL THERAPY
Doing business as
Life Span Support Services
Practice address
3417 Vassar Dr
Anchorage, AK 99508-4332
Phone
(907) 272-1394
NPI assigned
Aug 5, 2007
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Dr. Susan K Daleiden, P.T.NPI 1366577199
Title
Physical Therapist
Phone
(907) 272-1394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 314260 AK Primary

Addresses

Primary practice location

3417 Vassar Dr
Anchorage, AK 99508-4332

Mailing address

3417 Vassar Dr
Anchorage, AK 99508-4332
Phone (907) 272-1394

Other names 1

  • Life Span Support Services Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1962693176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 VASSAR DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084332",
            "telephone_number": "907-272-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 VASSAR DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084332",
            "telephone_number": "907-272-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SYSTEMS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "DALEIDEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "907-272-1394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "314260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Span Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2012; 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.