JEFFREY AUGUST LEPAGE (NPI# 1265470413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265470413 |
| Entity Type | Individual |
| Full Name | JEFFREY AUGUST LEPAGE |
| Credential | P.T., C.W.S. |
| Practice Address |
6701 W. Blondell St. Wasilla AK 99654 |
| Mailing Address |
Po Box 298658 Wasilla AK 99629-8658 |
| Practice Telephone | 9073579755 |
| Practice Fax Number | 9073579499 |
| Mailing Telephone | 9073579755 |
| Mailing Fax Number | 9073579499 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1512 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6701 W. BLONDELL ST. |
| City | WASILLA |
| State | AK |
| Zip Code | 99654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205850674 | First Choice Physical Therapy, Inc. | Clinic/Center | 6701 W. Blondell St., Wasilla, AK 99654 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013460625 | James Matthew Sliwa | Physical Therapist | 1830 E Parks Hwy Ste A137, Wasilla, AK 99654-7378 | 2016-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427439256 | Scott Parks | Physical Therapist | 510 W Tudor Rd Ste 10, Anchorage, AK 99503-6649 | 2015-06-17 |
| 1871928069 | Sandra Chow | Physical Therapist | 3650 Lake Otis Pkwy Ste 201, Anchorage, AK 99508-5219 | 2013-09-06 |
| 1821211616 | Kjell B Risung | Physical Therapist | Frontier Therapy Services, 108 East Corral, Soldotna, AK 99669 | 2007-04-10 |
| 1508995572 | Lisa Patrice Crooks | Physical Therapist | 3706 Oregon Dr, Anchorage, AK 99517-2668 | 2007-03-05 |
| 1386720779 | Dennis L Poirier | Physical Therapist | United Physical Therapy, 701 Sesame Street Suite 101, Anchorage, AK 99503 | 2006-10-27 |
| 1376649921 | Gary Wayne Mccarthy | Physical Therapist | 21719 Chandelle Cir, Chugiak, AK 99567-5583 | 2006-09-14 |
| 1831123165 | Willow Physical Therapy, Limited | Physical Therapist | 544 4th Ave # 102, Fairbanks, AK 99701-4714 | 2006-07-11 |
| 1548860661 | Sarah Elizabeth Hanvy | Physical Therapist | 1917 Abbott Rd, Anchorage, AK 99507-3449 | 2020-10-28 |
| 1356951438 | Kirstin Jensen | Physical Therapist | 601 E Pioneer Ave Ste 218, Homer, AK 99603-7694 | 2020-08-04 |
| 1215581707 | Sarah Rea Marchisio | Physical Therapist | 304 W Evergreen Ave, Palmer, AK 99645-6970 | 2019-08-01 |
| Find all providers with the same taxonomy | ||||
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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.