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PENINSULA PEDIATRIC THERAPY, INC.
NPI 1194152058
Clinic/Center - Multi-Specialty in Palmer, AK

Active since October 08, 2013
7335 PALMER WASILLA HWY, PALMER, AK 99645(907) 250-1151(907) 782-4202 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peninsula Pediatric Therapy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA PEDIATRIC THERAPY, INC. (NPI 1194152058) is a healthcare organization registered as a multi-specialty in Palmer, Alaska and active in the NPI registry since October 2013. The organization lists Shani Lazell Dean, President, as its authorized official.

NPPES Registry Identity

NPI1194152058
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePENINSULA PEDIATRIC THERAPY, INC.
Location Address7335 PALMER WASILLA HWYPalmer, AK 99645-6007
Mailing Address9040 E Gold Pan DrPalmer, AK 99645-9684 · (907) 250-1151 · Fax (907) 782-4202
Phone(907) 250-1151
Fax(907) 782-4202
Organization SubpartNo
Authorized OfficialShani Lazell DeanPresident · (907) 250-1151
Enumeration DateOctober 8, 2013
Last NPPES UpdateMay 14, 2015
✔ NPI 1194152058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in AK · 334
7335 PALMER WASILLA HWY, Palmer, AK 99645
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Other Identifiers 1

Medicaid1603051AK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Pediatric Therapy, Inc.'s NPI number?

The NPI number for Peninsula Pediatric Therapy, Inc. is 1194152058. It was assigned to this organization in the NPPES registry on October 8, 2013.

Where is Peninsula Pediatric Therapy, Inc. located?

Peninsula Pediatric Therapy, Inc. is located at 7335 Palmer Wasilla Hwy, Palmer, AK 99645. The listed phone number is (907) 250-1151.

What is Peninsula Pediatric Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Peninsula Pediatric Therapy, Inc. was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.