IndividualActive
Brian Shoulders, DPT
NPI 1124844170 · Physical Therapist · Fairbanks, AK
Provider details
- NPI number
- 1124844170
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 5501303618 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3745 Geist Rd
Fairbanks, AK 99709-3554
Phone: (907) 931-5223
Street-level locationGet directions
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Additional practice locations (2)
- 1525 W Maumee StAdrian, MI 49221-1899Phone: (517) 265-6007
- 902 Industrial DrTecumseh, MI 49286-9701Phone: (517) 423-7722
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.