Mavrick Kuzmin, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

115860 Issued in AK

Practice address

35249 Kenai Spur Hwy
Suite C
Soldotna, AK 99669-7623

Phone

(907) 420-0836

NPI assigned

May 3, 2017

Last updated

May 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revolution Sport & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Soldotna, AK
  • NPI 1598215170
  Medicare reassignment NPD
• Borealis Chiropractic Inc

  • Chiropractor
  • Soldotna, AK
  • NPI 1558800607
  NPD
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388
  NPD
• Benchmark Physical Therapy of Oregon LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1801257191

  Orthopedic

  NPD

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1962938423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35249 KENAI SPUR HWY",
            "address_2": "SUITE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697623",
            "telephone_number": "907-420-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35249 KENAI SPUR HWY",
            "address_2": "SUITE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697623",
            "telephone_number": "907-420-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMIN",
        "first_name": "MAVRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AK",
            "license": "115860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kpo Rehabilitation and Sports Medicine Inc.
• Henry G Krull, M.D.
• Maghan Kruzick, MS
• Mary Elizabeth Kuepper, MA, L.P.C.-S
• Samantha Danielle Kumpe
• Brittany Jean Kvasnikoff
• Debra Marie Kvasnikoff, LMT
• Tayler Megin La Barbera
• Megan L Lacross, B.A.
• Kristina Diann Lacy, DPM

• Orthopedic Physical Therapist in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Orthopedic Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.

Verify at the official NPI Registry.