1427203421 NPI number — DYNAMIC KIDS PHYSICAL THERAPY LLC

Table of content: (NPI 1427203421)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427203421 NPI number — DYNAMIC KIDS PHYSICAL THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DYNAMIC KIDS PHYSICAL THERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427203421
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3229 WILEY POST LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99517-2322
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-632-3595
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4325 LAUREL ST STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99508-5364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-632-3595
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
LYN
Authorized Official Title or Position:
PHYSICAL THERAPIST
Authorized Official Telephone Number:
907-632-3595

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  PT 1447 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PT0126 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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