HOMER PHYSICAL THERAPY, LLC (NPI# 1750499224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750499224 |
| Entity Type | Organization |
| Organization Name | HOMER PHYSICAL THERAPY, LLC |
| Practice Address |
4141 Pennock St Homer AK 99603-7223 |
| Practice Telephone | 9072353410 |
| Practice Fax Number | 9072353417 |
| Mailing Telephone | 9072353410 |
| Mailing Fax Number | 9072353417 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2013-03-22 |
| Authorized Official Name | SALLIE W REDISKE (OWNER) |
| Authorized Official Telephone | 9072353410 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1134 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4141 PENNOCK ST |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599126 | Carol Lynn Klamser | Nurse Practitioner | 4141 Pennock St, Homer, AK 99603-7223 | 2005-06-22 |
| 1427465582 | Anchorage Vamc | Clinic/Center | 4141 Pennock St, Homer, AK 99603-7223 | 2014-07-21 |
| 1093121352 | Maggie Goedeke | Physical Therapist | 4141 Pennock St, Homer, AK 99603-7223 | 2014-07-08 |
| 1124211750 | Haley Dee Bowen | Physical Therapist | 4141 Pennock St, Homer, AK 99603-7223 | 2007-08-27 |
| 1922115906 | Ginnie M Oliver | Physical Therapist | 4141 Pennock St, Homer, AK 99603-7223 | 2006-08-24 |
| 1336113943 | Sallie W Rediske | Physical Therapist | 4141 Pennock St, Homer, AK 99603-7223 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951438 | Kirstin Jensen | Physical Therapist | 601 E Pioneer Ave Ste 218, Homer, AK 99603-7694 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013460625 | James Matthew Sliwa | Physical Therapist | 1830 E Parks Hwy Ste A137, Wasilla, AK 99654-7378 | 2016-07-31 |
| 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 |
| 1265470413 | Jeffrey August Lepage | Physical Therapist | 6701 W. Blondell St., Wasilla, AK 99654 | 2006-06-02 |
| 1548860661 | Sarah Elizabeth Hanvy | Physical Therapist | 1917 Abbott Rd, Anchorage, AK 99507-3449 | 2020-10-28 |
| 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.