Individual provider Active NPI

Morgan Charbonneau, PHYSICAL THERAPIST

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1972193795
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PHYP2094 Issued in AK
Practice address
4015 Lake Otis Pkwy Ste 200
Anchorage, AK 99508-5235
Phone
(907) 770-6363
Fax
(907) 770-6366
NPI assigned
Jan 25, 2021
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PHYP2094 AK Primary

Addresses

Primary practice location

4015 Lake Otis Pkwy Ste 200
Anchorage, AK 99508-5235

Mailing address

4015 Lake Otis Pkwy Ste 200
Anchorage, AK 99508-5235
Phone (907) 770-6363

Other practice location 1

11432 Business Blvd Ste 18
Eagle River, AK 99577-7740
Phone (907) 376-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4015 Lake Otis Pkwy
Suite 200
Anchorage, AK 99508-5235

542 W Chandler Blvd
Chandler, AZ 85225-7531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PHYP2094AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Rim Athletics LLC CurrentSince Jan 31, 2021 Accepting new patients
Health Quest Therapy, Inc. Physical Therapist CurrentSince Jun 15, 2026 Accepting new patients
Alaska Hand Rehabilitation, Inc. Physical Therapist PastSince Jun 15, 2026 Accepting new patients

Locations

4015 Lake Otis Pkwy
Ste 200
Anchorage, AK 99508
Phone (907) 563-8318

10950 Mausel St
Ste B8
Eagle River, AK 99577
Phone (907) 717-5193

11432 Business Blvd
Ste 18
Eagle River, AK 99577
Phone (907) 376-6363

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1972193795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-770-6363",
            "fax_number": "907-770-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-770-6363",
            "fax_number": "907-770-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11432 Business Blvd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777740",
            "country_code": "US",
            "telephone_number": "907-376-6363",
            "fax_number": "907-376-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARBONNEAU",
        "first_name": "MORGAN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PHYP2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.