Ketchikan Physical Therapy, LLC
NPI 1801437090 · Health Service Clinic/Center · Ketchikan, AK
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketchikan Physical Therapy, LLC is a Health Service Clinic/Center organization in Ketchikan, AK (NPI 1801437090).
Provider details
- NPI number
- 1801437090
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Davidshofer, Physical Therapist(907) 617-2052
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2019-09-30
- Last updated
- 2019-09-30
Frequently asked questions
- What is Ketchikan Physical Therapy, LLC's NPI number?
- Ketchikan Physical Therapy, LLC's National Provider Identifier (NPI) is 1801437090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketchikan Physical Therapy, LLC?
- Ketchikan Physical Therapy, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ketchikan Physical Therapy, LLC located?
- Ketchikan Physical Therapy, LLC's practice location on file with NPPES is 21 Jefferson Way Ste 202, Ketchikan, AK 99901-5951.
- What is Ketchikan Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketchikan Physical Therapy, LLC is (907) 617-2052.
- Does Ketchikan Physical Therapy, LLC accept Medicare?
- Ketchikan Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ketchikan Physical Therapy, LLC?
- The authorized official listed on Ketchikan Physical Therapy, LLC's NPPES record is Amanda Davidshofer, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketchikan Physical Therapy, LLC's NPI active?
- Yes — Ketchikan Physical Therapy, LLC's NPI (1801437090) is active in the NPPES registry as of the last update on 2019-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.