Active NPI
Christopher Alexander Wilson, P.T.
- Physical Therapist
- Eagle River, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1007
- Practice address
- 12551 Old Glenn Hwy
Ste E
Eagle River, AK 99577-7590 - Phone
- (907) 694-5515
- Fax
- (907) 694-5575
- NPI assigned
- May 15, 2006
- Last updated
- Jan 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1007 | AK | Primary |
Addresses
Primary practice location
12551 Old Glenn Hwy
Ste E
Eagle River, AK 99577-7590
Mailing address
12551 Old Glenn Hwy
Ste E
Eagle River, AK 99577-7590
Phone (907) 694-5515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1007 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
642 S Alaska St
Suite 209
Palmer, AK 99645-6378
Phone (907) 746-0722
742 K St
Anchorage, AK 99501-3331
Phone (907) 929-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1007 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Motion Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| United Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Alaska Physical Therapy Specialists, LLC | Physical Therapist | Past | Accepting new patients |
Locations
206 E Northern Lights Blvd
Ste 1
Anchorage, AK 99503
Phone (907) 561-2260
742 K St
Anchorage, AK 99501
Phone (907) 929-8400
12251 Old Glenn Hwy E
Eagle River, AK 99577
12551 Old Glenn Hwy
Ste E
Eagle River, AK 99577
Phone (907) 694-5515
Organizations & group practices 4
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.
-
- Physical Therapist
- Anchorage, AK
- NPI 1609888130
-
- Physical Therapy Clinic/Center
- Palmer, AK
- NPI 1265525836
-
- Physical Therapy Clinic/Center
- Eagle River, AK
- NPI 1124497540
Physical Therapist
-
- Physical Therapist
- Anchorage, AK
- NPI 1801849211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1972554814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12551 OLD GLENN HWY",
"address_2": "STE E",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777590",
"telephone_number": "907-694-5515",
"fax_number": "907-694-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12551 OLD GLENN HWY",
"address_2": "STE E",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777590",
"telephone_number": "907-694-5515",
"fax_number": "907-694-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHRISTOPHER",
"middle_name": "ALEXANDER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "1007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT1007",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.