Susan V Pettis, PT - Physical Therapist in Anchorage, AK

Susan V Pettis, PT is a Physical Therapist based in Anchorage, Alaska. Susan V Pettis is licensed to practice in Alaska (license number 67) and her current practice location is 11551 Tanglewood Lake Circle, Suite 2, Anchorage, Alaska. She can be reached at her office (for appointments etc.) via phone at (907) 562-7745.

NPI number for Susan V Pettis is 1346204658 and her current mailing address is Po Box 241769, Anchorage, Alaska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346204658.

Contact Information

Susan V Pettis, PT
11551 Tanglewood Lake Circle, Suite 2,
Anchorage, AK 99516-1304
(907) 562-7745
(907) 562-7808



Healthcare Provider's Profile

Full NameSusan V Pettis
GenderFemale
SpecialityPhysical Therapist
Location11551 Tanglewood Lake Circle, Anchorage, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346204658
  • Provider Enumeration Date: 04/13/2006
  • Last Update Date: 09/02/2010

Medical Identifiers

Medical identifiers for Susan V Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346204658NPI-NPPES
PT0577MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 67 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan V Pettis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan V Pettis, PT
Po Box 241769,
Anchorage, AK 99524-1769

Ph: (907) 770-2380
Susan V Pettis, PT
11551 Tanglewood Lake Circle, Suite 2,
Anchorage, AK 99516-1304

Ph: (907) 562-7745

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