OSHERAY STREETER DPT - NPI 1801433099 - Physical Therapist in Fairbanks, AK

Q: What is Osheray Streeter's NPI number?

The NPI number for Osheray Streeter is 1801433099. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Q: What is Osheray Streeter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Osheray Streeter was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Osheray Streeter Dpt NPPES

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

OSHERAY STREETER DPT (NPI 1801433099) is an individual orthopedic provider in Fairbanks, Alaska, licensed in Alaska (148772) and active in the NPI registry since December 2019. He maintains a secondary practice location in Bellevue and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801433099

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameOSHERAY STREETERCredential: DPT

Location Address3455 REWAK DR STE 106Fairbanks, AK 99709-5024

Mailing Address3455 Rewak Dr Ste 106Fairbanks, AK 99709-5024 · (907) 457-5322

Phone(907) 457-5322

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 6, 2019

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1801433099 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 · 148772

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.

3455 REWAK DR STE 106, Fairbanks, AK 99709

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Secondary Practice Location 1

Location 11560 140th Ave NE Ste 100Bellevue, WA 98005-4571 · Phone (425) 746-2475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Osheray Streeter Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274969399

PECOS Enrollment IDI20251014001034

Other Providers at the Same Location NPPES 7

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

CONOR D BRYAN

Physical Therapist