Mikayla Shamburger, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

211684 Issued in AK

Practice address

11260 Old Seward Hwy
Anchorage, AK 99515-3098

Phone

(907) 341-5555

Fax

(907) 341-5755

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

• Rebound Sports and Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1407888902
  NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1982387569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13802 ARBORETUM ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995167612",
            "telephone_number": "907-229-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153098",
            "telephone_number": "907-341-5555",
            "fax_number": "907-341-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBURGER",
        "first_name": "MIKAYLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "211684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Garret Shacklett, M.D.
• Randee R Shafer, LCSW
• John David Shaheen, RN, MSN
• Shaligohomes Assisted Living
• Shalom and Chris Homes LLC
• Gray Shaneberger, PA-C
• Michelle Shangin, MHPC
• Rex Charles Shangraw, BCBA
• Pebbles Dakota Shanley, M.D.
• Shannon Candid Alaska, P.C.

• 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 9, 2023; 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.