NPIMap

Organization Active NPI

Health Quest Therapy, Inc.

  • Occupational Therapy Assistant
  • Wasilla, AK
National Provider Identifier
1982727640
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
HEALTH QUEST THERAPY, INC.
Practice address
650 N Shoreline Dr
Wasilla, AK 99654-6677
Phone
(907) 376-6363
Fax
(907) 376-6366
NPI assigned
Apr 9, 2007
Last updated
Nov 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Shain Robert ZumbrunnenNPI 1568510287
Title
Owner
Phone
(907) 376-6363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OT1216 AK
Occupational Therapy Assistant 224Z00000X NU Primary
Physical Therapist 225100000X PT0016 AK
Pediatric Physical Therapist 2251P0200X PT0011 AK
Occupational Therapist 225X00000X NU
Hand Occupational Therapist 225XH1200X OT1216 AK
Pediatric Occupational Therapist 225XP0200X 2195 AK
Speech-Language Pathologist 235Z00000X 46 AK
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

650 N Shoreline Dr
Wasilla, AK 99654-6677

Mailing address

650 N Shoreline Dr
Wasilla, AK 99654-6677
Phone (907) 376-6363

Other practice location 1

11432 Business Blvd Ste 18
Eagle River, AK 99577-7740
Phone (907) 622-6363

Other practice location 2

Mile 4.4 Talkeetna Spur Road
Talkeetna, AK 99676
Phone (907) 376-6363

Other practice location 3

1325 S Kihei Rd Ste 102
Kihei, HI 96753-8145
Phone (808) 269-1720

Other practice location 4

24091 Long Lake Road
Willow, AK 99688
Phone (907) 376-6363

Other identifiers 1

IdentifierTypeStateIssuer
MPG0062MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040717000096 AK Part B Supplier - Clinic/Group Practice 5597744037 Receives reassigned benefits from 16 practitioners
Practice locations: Wasilla, AK; Eagle River, AK; Anchorage, AK
O20100930054524 AK DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 5597744037 Practice locations: Wasilla, AK

National Provider Directory

National Provider Directory

Locations

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

1590 E Financial Dr
#F205
Wasilla, AK 99654
Phone (907) 376-6363

650 N Shoreline Dr
Wasilla, AK 99654
Phone (907) 376-6363

650 N Shoreline Dr
Ste 101
Wasilla, AK 99654
Phone (907) 376-6363

1325 S Kihei Rd
Ste 102
Kihei, HI 96753
Phone (808) 269-1720

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1982727640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N SHORELINE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546677",
            "telephone_number": "907-376-6363",
            "fax_number": "907-376-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N SHORELINE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546677",
            "telephone_number": "907-376-6363",
            "fax_number": "907-376-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11432 Business Blvd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777740",
            "country_code": "US",
            "telephone_number": "907-622-6363",
            "fax_number": "907-622-6366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Mile 4.4 Talkeetna Spur Road",
            "address_purpose": "LOCATION",
            "city": "Talkeetna",
            "state": "AK",
            "postal_code": "99676",
            "country_code": "US",
            "telephone_number": "907-376-6363",
            "fax_number": "907-376-6366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 S Kihei Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "967538145",
            "country_code": "US",
            "telephone_number": "808-269-1720",
            "fax_number": "866-431-9522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24091 Long Lake Road",
            "address_purpose": "LOCATION",
            "city": "Willow",
            "state": "AK",
            "postal_code": "99688",
            "country_code": "US",
            "telephone_number": "907-376-6363",
            "fax_number": "907-376-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH QUEST THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "ZUMBRUNNEN",
        "authorized_official_first_name": "SHAIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-6363"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AK",
            "license": "OT1216",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PT0016",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AK",
            "license": "PT0011",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AK",
            "license": "OT1216",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "2195",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "46",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPG0062",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.