KEITH COLLINSWORTH (NPI# 1639494594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639494594 |
| Entity Type | Individual |
| Full Name | KEITH COLLINSWORTH |
| Credential | DPT |
| Practice Address |
1060 Gaffney Rd Stop 7440 Bassett Army Community Hospital Ft Wainwright AK 99703-5007 |
| Mailing Address |
1060 Gaffney Rd #7440 Bassett Army Community Hospital Ft Wainwright AK 99703-7440 |
| Practice Telephone | 9073615418 |
| Practice Fax Number | 9073614847 |
| Mailing Telephone | 9073615418 |
| Mailing Fax Number | 9073614847 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PLT-10415 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1060 GAFFNEY RD STOP 7440 BASSETT ARMY COMMUNITY HOSPITAL |
| City | FT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881763720 | Jeremy Todd Beauchamp | Family Medicine | 1060 Gaffney Rd Stop 7440, Bassett Army Community Hospital (attn Mcuc-mmd-qm), Ft Wainwright, AK 99703-5007 | 2006-11-07 |
| 1356984553 | Khanh Dinh | Pharmacist | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2019-10-21 |
| 1497189757 | Susan K Connell | Physical Therapist | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2013-08-22 |
| 1811329394 | Gary Lamar Anderson | Pharmacist | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2013-08-06 |
| 1942549506 | Amanda L Gagnon | Registered Nurse | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2013-02-01 |
| 1962756643 | Daniel R Brown | Physical Therapist | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2012-11-02 |
| 1871858613 | Michael D Jones | Physician Assistant | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2012-07-09 |
| 1114285020 | Brian Gordon | Counselor | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2012-04-27 |
| 1497060792 | Kevin Michael Iskra | Physician Assistant | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2010-08-11 |
| 1588837199 | Cathy G Brown | Counselor | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538682190 | Harmonie Grace E Lee | Physical Therapist | 1060 Gaffney Rd, Ft Wainwright, AK 99703-5002 | 2017-07-25 |
| 1497189757 | Susan K Connell | Physical Therapist | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2013-08-22 |
| 1962756643 | Daniel R Brown | Physical Therapist | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788896 | Robert A Wilkens | Physical Therapist | 3300 Providence Dr Ste B201, Anchorage, AK 99508-4621 | 2020-07-23 |
| 1962028191 | Melinda Cline | Physical Therapist | 5972 E Westview Cir, Wasilla, AK 99654-4385 | 2020-06-23 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1730718412 | Brooke Maury Dudley | Physical Therapist | 3000 Mccollie Ave, Anchorage, AK 99517-1270 | 2020-04-05 |
| 1528696143 | Karen Durbin | Physical Therapist | 2395 Kachemak Bay Dr, Homer, AK 99603-8021 | 2020-03-30 |
| 1588203855 | Independence Healthcare PC | Physical Therapist | 100 Trading Bay Rd Ste 6, Kenai, AK 99611-7786 | 2020-01-03 |
| 1114578572 | Matthew Coddington | Physical Therapist | Jber Soldier Centered Medical Home, Building 786, D Street, Jber, AK 99505 | 2019-09-26 |
| 1356991525 | Out Patient At Home Physical Therapy LLC | Physical Therapist | 12820 Mission Cir, Anchorage, AK 99516-2760 | 2019-09-18 |
| 1609421502 | Fortitude, Inc | Physical Therapist | 43900 Kenai Spur Hwy Unit C, Kenai, AK 99611-9708 | 2019-08-07 |
| 1962054296 | Nathan Kowalczk | Physical Therapist | 645 N Jessica Brooke Cir Ste C, Wasilla, AK 99654-7333 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | FT WAINWRIGHT |
| Zip Code | 99703 |
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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.