HOMER PHYSICAL THERAPY, LLC
NPI 1750499224
Physical Therapist - Orthopedic in Homer, AK

Q: What is Homer Physical Therapy, LLC's NPI number?

The NPI number for Homer Physical Therapy, LLC is 1750499224. It was assigned to this organization in the NPPES registry on August 26, 2006.

Q: What is Homer Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since August 26, 2006

4141 PENNOCK ST, HOMER, AK 99603(907) 235-3410(907) 235-3417 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Homer Physical Therapy, Llc NPPES

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

HOMER PHYSICAL THERAPY, LLC (NPI 1750499224) is a healthcare organization registered as an orthopedic in Homer, Alaska and active in the NPI registry since August 2006. The organization lists Sallie W Rediske, Owner, as its authorized official.

NPPES Registry Identity

NPI1750499224

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameHOMER PHYSICAL THERAPY, LLC

Location Address4141 PENNOCK STHomer, AK 99603-7223

Mailing Address4141 Pennock StHomer, AK 99603-7223 · (907) 235-3410 · Fax (907) 235-3417

Phone(907) 235-3410

Fax(907) 235-3417

Organization SubpartNo

Authorized OfficialSallie W RediskeOwner · (907) 235-3410

Enumeration DateAugust 26, 2006

Last NPPES UpdateMarch 22, 2013

✔ NPI 1750499224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in AK · 1134

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

4141 PENNOCK ST, Homer, AK 99603

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Other Identifiers 1

Medicare UPINK152880AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGGIE GOEDEKE DPT

Physical Therapist