ANCHORAGE PHYSICAL MEDICINE, LLC (NPI# 1366918435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366918435 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE PHYSICAL MEDICINE, LLC |
| Practice Address |
500 E Benson Blvd Ste 103 Anchorage AK 99503-4148 |
| Mailing Address |
8226 Shadow Creek Ln Yorkville IL 60560-8909 |
| Practice Telephone | 4808231000 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | JEFFERY REBARCAK (OWNER) |
| Authorized Official Telephone | 4808231000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
500 E BENSON BLVD STE 103 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922338854 | Alaska Spine & Pain Center, LLC | Anesthesiology | 500 E Benson Blvd Ste 103, Anchorage, AK 99503 | 2009-12-24 |
| 1790323632 | Anodyne Pain & Wellness of Anchorage LLC | Chiropractor | 500 E Benson Blvd Ste 103, Anchorage, AK 99503-4148 | 2019-12-11 |
| 1730739723 | Midtown Medical LLC | General Practice | 500 E Benson Blvd Ste 103, Anchorage, AK 99503-4148 | 2019-09-12 |
| 1417415787 | Melissa Dearborn | Massage Therapist | 500 E Benson Blvd Ste 103, Anchorage, AK 99503-4148 | 2019-03-06 |
| 1568929446 | Thomas Francois Bailly | Massage Therapist | 500 E Benson Blvd Ste 103, Anchorage, AK 99503-4148 | 2019-02-27 |
| 1144676578 | Tyler Best | Chiropractor | 500 E Benson Blvd Ste 103, Anchorage, AK 99503-4148 | 2016-05-04 |
| 1801112420 | Kevin Julius Barrett | Nurse Practitioner | 500 E Benson Blvd Ste 103, Anchorage, AK 99503-4148 | 2010-04-08 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1831580604 | Johnna L Kohl Md LLC | General Practice | 4001 Dale St Ste 201, Anchorage, AK 99508-5445 | 2015-02-13 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| 1356630867 | Thomas Walter Guziejewski | General Practice | 2110 E Northern Lights Blvd Ste 101, Anchorage, AK 99508-4154 | 2011-04-05 |
| 1174828008 | Jean Colesberry Persons | General Practice | 1546 Coffey Lane, Anchorage, AK 99501 | 2011-01-25 |
| 1508066820 | Brian Weston Piltz | General Practice | 1717 C St, Anchorage, AK 99507 | 2007-07-24 |
| 1316158678 | Arthur Dewey Tilgner | General Practice | 5011 Spenard Rd, Anchorage, AK 99517-3401 | 2007-05-25 |
| 1306990312 | Jean Milner Eaton | General Practice | 8700 E Klatt Rd, Anchorage, AK 99507-6343 | 2007-01-23 |
| 1134229495 | Thomas Gilman Lang | General Practice | 741 Sesame St, 1-b, Anchorage, AK 95503-6657 | 2006-09-25 |
| 1285602508 | Douglas C Smith | General Practice | 2900 Providence Dr, Anchorage, AK 99508-5756 | 2006-03-11 |
| 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.