Healthcare Provider Details

I. General information

NPI: 1376892133
Provider Name (Legal Business Name): MATTHEW EARL CROWE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MATTHEW EARL MILLER DPT

II. Dates (important events)

Enumeration Date: 09/07/2012
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 LAKE OTIS PKWY STE 300
ANCHORAGE AK
99508-5234
US

IV. Provider business mailing address

3801 LAKE OTIS PKWY STE 300
ANCHORAGE AK
99508-5234
US

V. Phone/Fax

Practice location:
  • Phone: 907-562-2277
  • Fax: 907-562-2277
Mailing address:
  • Phone: 907-562-2277
  • Fax: 907-562-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2504
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPHYP2504
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: