MIND, BODY, SOUL (NPI# 1780960229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780960229 |
| Entity Type | Organization |
| Organization Name | MIND, BODY, SOUL |
| Other Organization Name | MIND, BODY, SOUL PHYSICAL THERAPY |
| Practice Address |
12103b Horseshoe Dr Eagle River AK 99577-7547 |
| Mailing Address |
Po Box 770502 Eagle River AK 99577-0502 |
| Practice Telephone | 9076963657 |
| Practice Fax Number | 9076223657 |
| Mailing Telephone | 9076963657 |
| Mailing Fax Number | 9076223657 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |
| Authorized Official Name | MELANIE BRITT MICHAELS (OWNER) |
| Authorized Official Telephone | 9076963657 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1653 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Mind, Body, Soul Physical Therapy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MIND, BODY, SOUL, MASSAGE THERAPY LLC | 4708 Kyle Road, Fort Wayne, IN 46809 |
| Street Address |
12103B HORSESHOE DR |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| 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 |
|---|---|---|---|---|
| 1871976837 | M2b Holdings | Physical Therapist | 11401 Old Glenn Hwy, #110, Eagle River, AK 99577-7747 | 2015-07-08 |
| 1215329297 | Julie Marie Parantala | Physical Therapist | 12032 Business Blvd, Eagle River, AK 99577-7725 | 2015-02-26 |
| 1447692017 | Amy Elizabeth Caudillo | Physical Therapist | 12812 Old Glenn Hwy Ste 5, Eagle River, AK 99577-7558 | 2013-07-24 |
| 1639405723 | Juanita C. Stageberg | Physical Therapist | 201 Hospital Rd., Eagle River, WI 54521-8835 | 2009-10-23 |
| 1487888715 | Breanna Scarpella | Physical Therapist | 12551 Old Glenn Hwy Ste E, Eagle River, AK 99577 | 2009-05-15 |
| 1992942874 | Courtney Despos | Physical Therapist | 17101 Snowmobile Ln Ste 202, Eagle River, AK 99577-7043 | 2009-01-14 |
| 1225226632 | Pan Alaska Physical Therapy | Physical Therapist | 11470 Business Blvd # 200, Eagle River, AK 99577-7721 | 2007-10-10 |
| 1871638049 | Sharon Lee Frost | Physical Therapist | 12812 Old Glenn Hwy Ste C-4, Eagle River, AK 99577-7558 | 2007-02-21 |
| 1184765448 | Melanie Britt Michaels | Physical Therapist | 10421 Vfw Rd, Suite 103, Eagle River, AK 99577-8032 | 2007-02-09 |
| 1700962974 | Kurt William Klemm | Physical Therapist | 528 Hwy 70 W, Eagle River, WI 54521 | 2006-10-31 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
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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.