MS. ALISA CHRISTINE CARROLL (NPI# 1740594183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740594183 |
Entity Type | Individual |
Full Name | MS. ALISA CHRISTINE CARROLL |
Credential | DPT |
Practice Address |
4001 Lake Otis Pkwy Ste 201 Anchorage AK 99508-5200 |
Practice Telephone | 9075695557 |
Practice Fax Number | 9075695562 |
Mailing Telephone | 9075695557 |
Mailing Fax Number | 9075695562 |
Enumeration Date | 2010-07-27 |
Last Update Date | 2010-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
2182 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MPG0133 | 05 | |
AK | WORKERS COMP | 613517700 | 01 |
Street Address |
4001 LAKE OTIS PKWY STE 201 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-5200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295761732 | Integrative Physical Therapy and Spine Treatment Center, Inc. | Physical Therapist | 4001 Lake Otis Pkwy Ste 201, Anchorage, AK 99508 | 2006-06-25 |
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 | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639552466 | Barbara Ann Lemmel | Physical Therapist | 10325 Old Seward Hwy Ste 170, Anchorage, AK 99515-2628 | 2015-06-29 |
Please comment or provide details below to improve the information on MS. ALISA CHRISTINE CARROLL.
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.