Kenai Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1042393 Issued in AK

Legal business name

KENAI PHYSICAL THERAPY, INC.

Practice address

4107 Hohe Ave.
Homer, AK 99603-7008

Phone

(907) 235-0687

Fax

(907) 235-4017

NPI assigned

Feb 14, 2018

Organization subpart

Yes

Parent organization

KENAI PHYSICAL THERAPY, INC.As reported in NPPES

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

Authorized official

Name

Ms. Anette M Avant, PT

Title

President/ Sole Owner

Phone

(907) 235-0687

Specialties & licenses 1

Addresses

Part of

Anette M Avant PT

Locations

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1962902197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 HOHE AVE.",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037008",
            "telephone_number": "907-235-0687",
            "fax_number": "907-235-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 HOHE AVE.",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037008",
            "telephone_number": "907-235-0687",
            "fax_number": "907-235-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAI PHYSICAL THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENAI PHYSICAL THERAPY, INC.",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "AVANT",
        "authorized_official_first_name": "ANETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ SOLE OWNER",
        "authorized_official_telephone_number": "907-235-0687",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1042393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Karnemaat
• Osnat Kaspi, LPC
• Katieostrommd
• Mary Lou Kelsey, ANP CNM RN
• Jackie Kempf, MS, CCC-SLP
• Bronwyn Kennedy, RN
• Shane Kilcher
• Daniel P Kiley, DDS
• Yein Kim
• Nathan William Kincaid, M.D.

• Physical Therapist in Homer, AK
• Providers in Homer, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.