Susan Veatch Pettis

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUSAN VEATCH PETTIS

Doing business as

Specialized Physical Therapy

Practice address

11551 Tanglewood Lakes Cir
Anchorage, AK 99516-1304

Phone

(907) 562-7745

Fax

(907) 562-7808

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Joseph E Beaty

Title

Billing Agent

Phone

(907) 770-2301

Specialties & licenses 1

Addresses

Other names 1

• Specialized Physical Therapy Doing business as

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1972735272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241769",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241769",
            "telephone_number": "907-770-2301",
            "fax_number": "907-770-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 TANGLEWOOD LAKES CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161304",
            "telephone_number": "907-562-7745",
            "fax_number": "907-562-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN VEATCH PETTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "907-770-2301"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialized Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.