Shannon Black in Anchorage - Physical Therapist
Shannon Black - NPI 1629184213
Shannon Black is a Physical Therapist in Anchorage, Alaska. Shannon Black practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shannon Black is 1629184213. The last update date is 2007-07-08.
Shannon Black's current location address is 4100 Lake Otis Pkwy, Anchorage, Alaska. You can contact this provider via phone number 9075506180. The mailing address for Shannon Black is 4100 Lake Otis Pkwy, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Black |
|---|---|
| Address | 4100 Lake Otis Pkwy, Anchorage, Alaska |
| Phone Number | 9075506180 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629184213 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4100 Lake Otis Pkwy |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995085222 |
| Phone Number | 9075506180 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1036 | AK | LICENSE # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon Black?
The Shannon Black has been issued the NPI (National Provider Identifier) 1629184213 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Shannon Black located?
The Shannon Black is located at 4100 Lake Otis Pkwy, Anchorage, AK 995085222.
What is Shannon Black's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon Black is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did Shannon Black receive its 1629184213 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Black was assigned its 1629184213 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shannon Black most recently updated or revised?
The details related to Shannon Black, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.