PAN ALASKA PHYSICAL THERAPY (NPI# 1992037154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992037154 |
| Entity Type | Organization |
| Organization Name | PAN ALASKA PHYSICAL THERAPY |
| Other Organization Name | EAGLE CENTER PHYSICAL THERAPY |
| Practice Address |
11470 Business Blvd Ste 200 Eagle River AK 99577-7780 |
| Practice Telephone | 9076965678 |
| Practice Fax Number | 9076962248 |
| Mailing Telephone | 9076965678 |
| Mailing Fax Number | 9076962248 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | JOANNE FOSDICK (OWNER) |
| Authorized Official Telephone | 19076965678 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2125 | AK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eagle Center Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225226632 | Pan Alaska Physical Therapy | Physical Therapist | 11470 Business Blvd # 200, Eagle River, AK 99577-7721 | 2007-10-10 |
| Street Address |
11470 BUSINESS BLVD STE 200 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7780 |
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124497540 | Ideal Motion Physical Therapy LLC | Clinic/Center | 12551 Old Glenn Hwy Ste E, Eagle River, AK 99577-7590 | 2015-09-15 |
| 1225316805 | Kay E Humphries | Clinic/Center | 11901 Business Blvd, Suite 209, Eagle River, AK 99577-7701 | 2011-07-29 |
| 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 |
| 1154715928 | Relax Your Mind, Body and Soul | Clinic/Center | 559 Golden Morn St, Fairbanks, AK 99712 | 2015-03-19 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on PAN ALASKA PHYSICAL THERAPY.
| 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.