Pan Alaska Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2125 Issued in AK

Legal business name

PAN ALASKA PHYSICAL THERAPY

Practice address

11470 Business Blvd Ste 200
Eagle River, AK 99577-7780

Phone

(907) 696-5678

Fax

(907) 696-2248

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Joanne Fosdick, PTA

Title

Owner

Phone

(907) 696-5678

Specialties & licenses 1

Addresses

Other names 1

• Eagle Center Physical Therapy Doing business as

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1992037154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11470 BUSINESS BLVD STE 200",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777780",
            "telephone_number": "907-696-5678",
            "fax_number": "907-696-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11470 BUSINESS BLVD STE 200",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777780",
            "telephone_number": "907-696-5678",
            "fax_number": "907-696-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN ALASKA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "FOSDICK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "19076965678",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "2125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Our Meadows LLC
• Nicole V Ourso
• Pacific Rim Athletics LLC
• Lea Palmer, RDN
• Pan Alaska Physical Therapy
• Anne Paolucci, RBT
• Julie Marie Parantala, DPT
• Cindy Park
• Steve Emery Parker, M.D.
• Laura Patin, LMFT

• Physical Therapy Clinic/Center in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.