Individual provider Active NPI

Katrina Ronsse Libby, P.T.

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1992105167
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2830 Issued in AK
Practice address
3650 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5219
Phone
(907) 561-4280
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2830 AK Primary

Addresses

Primary practice location

3650 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5219

Mailing address

3650 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5219
Phone (907) 561-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141220000079 AK Practitioner - Physical Therapist in Private Practice 4284957440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physical Therapy IncGroup PAC ID 1355231853, 34 clinicians

Practice addresses (Care Compare)

12570 Old Seward Hwy
Suite 202
Anchorage, AK 99515-3532
Phone (907) 222-2886

742 K St
Anchorage, AK 99501-3331
Phone (907) 929-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2830AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aline Alaska Chiropractic LLC CurrentSince Nov 1, 2020 Accepting new patients
United Physical Therapy, LLC Physical Therapist CurrentSince Oct 19, 2019 Accepting new patients

Locations

701 Sesame St
Ste 101
Anchorage, AK 99503
Phone (907) 561-0448

742 K St
Anchorage, AK 99501
Phone (907) 929-8400

1045 E Klatt Rd
Anchorage, AK 99515
Phone (907) 245-1245

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1992105167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085219",
            "telephone_number": "907-561-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085219",
            "telephone_number": "907-561-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "KATRINA",
        "middle_name": "RONSSE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.

Verify at the official NPI Registry.