ALASKA THERAPEUTIC & AQUATIC SPECIALISTS LLC (NPI# 1083967822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083967822 |
| Entity Type | Organization |
| Organization Name | ALASKA THERAPEUTIC & AQUATIC SPECIALISTS LLC |
| Other Organization Name | ATAS |
| Practice Address |
4800 Ridge Top Cir Anchorage AK 99508-3793 |
| Practice Telephone | 9073102290 |
| Practice Fax Number | 9075225144 |
| Mailing Telephone | 9073102290 |
| Mailing Fax Number | 9075225144 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | JULIET M TARDY (OWNER/MANAGER) |
| Authorized Official Telephone | 9073102290 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
737 | AK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ATAS | Other Name - Individual/Organization |
| Street Address |
4800 RIDGE TOP CIR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-3793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617747 | Aurora Physical Therapy, LLC | Clinic/Center | 12601 Bona Kim Loop, Anchorage, AK 99515-4328 | 2020-04-10 |
| 1700445061 | Community Physical Therapy, Inc. | Clinic/Center | 4101 Arctic Blvd Ste 102, Anchorage, AK 99503-5702 | 2019-06-11 |
| 1407291719 | Alaska Spine Institute | Clinic/Center | 6310 Habicht Ct, Anchorage, AK 99504-1063 | 2013-05-01 |
| 1649590530 | Reger Enterprises, LLC | Clinic/Center | 510 W Tudor Rd Ste 2, Anchorage, AK 99503-6649 | 2010-06-03 |
| 1558568766 | Denali Physical Therapy Limited Partnership | Clinic/Center | 751 East 36th Ave, Suite 100, Anchorage, AK 99503 | 2007-06-29 |
| 1609915347 | South Anchorage Physical Therapy Inc | Clinic/Center | 300 E Dimond Blvd Ste 16, Anchorage, AK 99515-1949 | 2007-02-06 |
| 1528126794 | Ascension Physical Therapy LLC | Clinic/Center | 6200 Lake Otis Pkwy, Ste 104, Anchorage, AK 99507 | 2006-12-04 |
| 1407888902 | Rebound Sports and Orthopedic Physical Therapy, LLC | Clinic/Center | 11260 Old Seward Hwy, Anchorage, AK 99515-3038 | 2006-07-07 |
| 1316440100 | Body Systems Limited Liability Company | Clinic/Center | 5185 W 80th Ave, Anchorage, AK 99502-4114 | 2018-03-17 |
| 1851792915 | Healthy Families LLC | Clinic/Center | 4138 Brantley Pl, Anchorage, AK 99508-5319 | 2014-09-09 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on ALASKA THERAPEUTIC & AQUATIC SPECIALISTS LLC.
| 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.