CATHERINE S MORMILE (NPI# 1104888346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104888346 |
| Entity Type | Individual |
| Full Name | CATHERINE S MORMILE |
| Credential | DPT |
| Practice Address |
3003 Minnesota Dr Suite 200 Anchorage AK 99503 |
| Mailing Address |
Po Box 3566 Palmer AK 99645 |
| Practice Telephone | 9073553515 |
| Practice Fax Number | 9077457269 |
| Mailing Telephone | 9073553515 |
| Mailing Fax Number | 9077457269 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 313 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PSYP313 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 354 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
PSYO354 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MEDICARE GROUP | K0000WCKJT | 01 |
| AK | TAX ID | 75-1754187 | 01 |
| PHP GENERIC ID | 209367 | 01 | |
| AK | PT0313 | 05 |
| Street Address |
3003 MINNESOTA DR SUITE 200 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518392216 | Jason Z Robinson | Counselor | 3003 Minnesota Dr, Suite # 204, Anchorage, AK 99503-3673 | 2013-09-12 |
| 1841533155 | Kevin M Easley Dmd PC | Durable Medical Equipment & Medical Supplies | 3003 Minnesota Dr, Ste 200, Anchorage, AK 99503-3673 | 2013-04-04 |
| 1255582029 | Kathryn Grace Kajdan Bell | Counselor | 3003 Minnesota Dr, Suite 204, Anchorage, AK 99503-3673 | 2008-10-09 |
| 1336292291 | Caroline Blair | Counselor | 3003 Minnesota Dr, Ste 204, Anchorage, AK 99503-3673 | 2007-01-22 |
| 1821006347 | Kevin M. Easley | Dentist | 3003 Minnesota Dr, 200, Anchorage, AK 99503-3665 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427439256 | Scott Parks | Physical Therapist | 510 W Tudor Rd Ste 10, Anchorage, AK 99503-6649 | 2015-06-17 |
| 1871928069 | Sandra Chow | Physical Therapist | 3650 Lake Otis Pkwy Ste 201, Anchorage, AK 99508-5219 | 2013-09-06 |
| 1508995572 | Lisa Patrice Crooks | Physical Therapist | 3706 Oregon Dr, Anchorage, AK 99517-2668 | 2007-03-05 |
| 1386720779 | Dennis L Poirier | Physical Therapist | United Physical Therapy, 701 Sesame Street Suite 101, Anchorage, AK 99503 | 2006-10-27 |
| 1548860661 | Sarah Elizabeth Hanvy | Physical Therapist | 1917 Abbott Rd, Anchorage, AK 99507-3449 | 2020-10-28 |
| 1205316007 | Manuel Vicente Mauri Stecca | Physical Therapist | 1917 Abbott Rd Ste 200, Anchorage, AK 99507-3449 | 2018-08-21 |
| 1396223921 | Vibrant Physical Therapy LLC | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515-1429 | 2018-08-06 |
| 1225570864 | Elizabeth Seidl | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 | 2016-11-14 |
| 1477002616 | Transform Physical Therapy | Physical Therapist | 3310 Arctic Blvd, Suite 102, Anchorage, AK 99503-4576 | 2016-09-29 |
| 1598186884 | Beate Ludwig | Physical Therapist | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 | 2014-01-03 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.