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HOMER PHYSICAL THERAPY LLC NPI 1750499224


NPI Information

NPI: 1750499224
Provider Name: HOMER PHYSICAL THERAPY, LLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
4141 PENNOCK ST
HOMER, AK
ZIP 99603
Phone: (907) 235-3410
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HOMER PHYSICAL THERAPY, LLC is an orthopedic physical therapist in Homer, AK. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. HOMER PHYSICAL THERAPY, LLC NPI is 1750499224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4141 PENNOCK ST
HOMER, AK
ZIP 99603-223
Phone: (907) 235-3410
Fax: (907) 235-3417

The provider's authorized official is Sallie W Rediske .
The authorized official title is Owner and has the following contact phone number (907) 235-3410.

The enumeration date for this NPI number is 8/26/2006 and was last updated on 3/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic1134ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K152880MEDICARE UPINALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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