COMMUNITY PHYSICAL THERAPY, INC. (NPI# 1700445061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700445061 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PHYSICAL THERAPY, INC. |
| Practice Address |
4101 Arctic Blvd Ste 102 Anchorage AK 99503-5702 |
| Mailing Address |
Po Box 91705 Anchorage AK 99509-1705 |
| Practice Telephone | 9072315631 |
| Practice Fax Number | 9079293931 |
| Mailing Telephone | 9072315631 |
| Mailing Fax Number | 9079293931 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MARY ANN GHOSN (OWNER) |
| Authorized Official Telephone | 9072315631 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1029504 | 05 |
| Other Name | Type Code |
|---|---|
| Mary Ann Ghosn, PT | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COMMUNITY PHYSICAL THERAPY, INC. | 165 Broad St., 1st Fl., Lynn, MA 01902 |
| Street Address |
4101 ARCTIC BLVD STE 102 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| 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 |
| 1407291719 | Alaska Spine Institute | Clinic/Center | 6310 Habicht Ct, Anchorage, AK 99504-1063 | 2013-05-01 |
| 1083967822 | Alaska Therapeutic & Aquatic Specialists LLC | Clinic/Center | 4800 Ridge Top Cir, Anchorage, AK 99508-3793 | 2012-10-17 |
| 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 | ||||
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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.