=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083479596
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALPINE PHYSICAL THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/14/2024
-----------------------------------------------------
Last Update Date | 05/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 206 SEWARD ST STE B
-----------------------------------------------------
City | SITKA
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99835-7526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-738-3926
-----------------------------------------------------
Fax | 360-404-7441
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 102 REMINGTON WAY
-----------------------------------------------------
City | SITKA
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99835-9752
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-623-8097
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / PHYSICAL THERAPIST
-----------------------------------------------------
Name | JESSICA PYATT
-----------------------------------------------------
Credential | PT, DPT, WCS
-----------------------------------------------------
Telephone | 907-738-3926
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------