MEDICARE: ADVANCED PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		AK

General Provider Information

NPI Number	:	1437214459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	1917 ABBOTT RD
Second Line	:	STE 200
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-3448
Country	:	US
Telephone Number	:	907-279-4266
Fax Number	:	907-279-4272

Provider Business Practice Location Address
First Line	:	1917 ABBOTT RD
Second Line	:	STE 200
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-3448
Country	:	US
Telephone Number	:	907-279-4266
Fax Number	:	907-279-4272

Authorized Official
Title or Position	:	SENIOR DIRECTOR CLINICAL OWNER
Name	:	VALERIE PHELPS
Credential	:	PT
Telephone Number	:	907-279-4266

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	08/22/2020

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Directions to “ADVANCED PHYSICAL THERAPY INC ” Practice Location

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