IndividualActive
Ismael Lacanlale, PTA
NPI 1942991930 · Physical Therapy Assistant · Anchorage, AK
Provider details
- NPI number
- 1942991930
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 202494 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4100 Lake Otis Pkwy Ste 106
Anchorage, AK 99508-5230
Phone: (907) 563-4115
Street-level locationGet directions
Mailing address
4400 W Lake Cir
Anchorage, AK 99502-4910
Registry dates
- Enumerated
- 2023-05-19
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.