HOME TOWN PHYSICAL THERAPY, LLC (NPI# 1366478935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366478935 |
| Entity Type | Organization |
| Organization Name | HOME TOWN PHYSICAL THERAPY, LLC |
| Practice Address |
2310 Peger Rd Ste 101 Fairbanks AK 99709-5315 |
| Practice Telephone | 9074577678 |
| Practice Fax Number | 9074577677 |
| Mailing Telephone | 9074577678 |
| Mailing Fax Number | 9074577677 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | MR. GREGORY SCOTT MILLES (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9074577678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
307473 | AK | Ambulatory Health Care Facilities |
| Street Address |
2310 PEGER RD STE 101 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447238860 | Brenda Renee Wolverton | Physical Therapist | 2310 Peger Rd Ste 101, Fairbanks, AK 99709-5315 | 2006-01-05 |
| 1598179244 | Laura Slamkowski | Physical Therapist | 2310 Peger Rd Ste 101, Fairbanks, AK 99709-5305 | 2014-06-19 |
| 1942416797 | Jill Stephanie Stagg I | Physical Therapist | 2310 Peger Rd Ste 101, Fairbanks, AK 99709-5305 | 2007-05-15 |
| 1548276488 | Jennifer Young | Physical Therapist | 2310 Peger Rd Ste 101, Fairbanks, AK 99709-5315 | 2006-07-31 |
| 1902844376 | Gregory Scott Milles | Physical Therapist | 2310 Peger Rd Ste 101, Fairbanks, AK 99709-5315 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154715928 | Relax Your Mind, Body and Soul | Clinic/Center | 559 Golden Morn St, Fairbanks, AK 99712 | 2015-03-19 |
| 1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
| 1548446297 | Building Blocks Physical Therapy, Inc | Clinic/Center | 3550 Airport Way Ste 4, Fairbanks, AK 99709-4772 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979551 | Cooper Rehabilitation and Wellness, LLC | Clinic/Center | 115 Wooded Glen Ct, Kenai, AK 99611-6867 | 2020-07-06 |
| 1386268449 | Kesugi LLC | Clinic/Center | 36451 Birch Rd, Soldotna, AK 99669-9966 | 2020-06-04 |
| 1821617747 | Aurora Physical Therapy, LLC | Clinic/Center | 12601 Bona Kim Loop, Anchorage, AK 99515-4328 | 2020-04-10 |
| 1366083941 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 220 Main Street Loop Unit A, Kenai, AK 99611-7724 | 2019-10-04 |
| 1871145995 | Recovery Waters Physical Therapy LLC | Clinic/Center | 9131 E Frontage Rd Ste 1, Palmer, AK 99645-9318 | 2019-07-09 |
| 1700445061 | Community Physical Therapy, Inc. | Clinic/Center | 4101 Arctic Blvd Ste 102, Anchorage, AK 99503-5702 | 2019-06-11 |
| 1588116909 | Medical Group of Alaska | Clinic/Center | 3190 E Meridian Park Loop, 206a, Wasilla, AK 99654-7422 | 2016-11-02 |
| 1497131049 | Vertical Physical Therapy LLC | Clinic/Center | 9109 Mendenhall Mall Rd Ste 5k, Juneau, AK 99801-7136 | 2015-08-05 |
| 1477936334 | Arctic Therapy and Rehab Bethel | Clinic/Center | 108 B Blackberry, Bethel, AK 99559-3466 | 2015-07-09 |
| 1952717092 | Raven's Song Rehabilitation, LLC | Clinic/Center | 6811 W Scatters Way, Wasilla, AK 99623-0878 | 2014-07-09 |
| Find all providers with the same taxonomy | ||||
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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.