Healthcare Provider Details

I. General information

NPI: 1699503417
Provider Name (Legal Business Name): MOVE BETTER PHYSICAL THERAPY, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 ABBOTT RD STE C
ANCHORAGE AK
99507-3422
US

IV. Provider business mailing address

2011 ABBOTT RD STE C
ANCHORAGE AK
99507-3422
US

V. Phone/Fax

Practice location:
  • Phone: 480-808-0752
  • Fax: 907-345-7546
Mailing address:
  • Phone: 480-808-0752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JORDAN KEENE
Title or Position: OWNER / PHYSICAL THERAPIST
Credential: PT, DPT, OCS
Phone: 817-937-7389