NPI 1083759021

Functional Therapy

Organisation Pediatric Physical Therapist Anchorage, AK

Practice location

Address: 6613 Brayton Dr Suite a, Anchorage, AK 99507-2127
Phone: (907) 334-9002
Fax: (907) 334-9320
Mailing address: PO Box 113394, Anchorage, AK 99511-3394

Authorised official

Name: Jerry Pasol
Title: Otr
Phone: (907) 334-9002

Registered specialties (2)

Pediatric Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251P0200X

Other Physical Therapist providers in Alaska →

Pediatric Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X

Other Occupational Therapist providers in Alaska →

Registry record

NPI: 1083759021
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.