Highmark Physical Therapy
NPI 1497556104ActiveOrganization· Physical Therapist· Fairbanks, AK
Physical Therapist in Fairbanks, Alaska, registered in NPPES in March 2025. The authorized official on file is Andrea Stauner, DPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497556104 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2025 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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