Fairbanks Physical Therapy LLC
NPI 1922396357ActiveOrganization· Physical Therapist· Fairbanks, AK
Physical Therapist in Fairbanks, Alaska, registered in NPPES in July 2011. The authorized official on file is Jeffrey S. Gordon, PT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922396357 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2011 |
| Last updated in NPPES | Jul 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1784 | AK |
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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