1841601036 NPI number — SARAH MARIE BAYSINGER DPT

Table of content: SARAH MARIE BAYSINGER DPT (NPI 1841601036)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841601036 NPI number — SARAH MARIE BAYSINGER DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAYSINGER
Provider First Name:
SARAH
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MEYER
Provider Other First Name:
SARAH
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841601036
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1917 ABBOTT RD., SUITE 200
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:
99507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-743-8228
Provider Business Mailing Address Fax Number:
907-743-8283

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9061 E FRONTAGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALMER
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99645-9317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-331-6992
Provider Business Practice Location Address Fax Number:
907-802-6559
Provider Enumeration Date:
05/11/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1626499 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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