# EQUINOX, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Equinox Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972643138
- **Authorized official:** MRS. RUTH KRISTINE CARSON P.T. (OWNER/ PHYSICAL THERAPIST)
- **Authorized official phone:** (907) 479-3800

## Contact information

- **Practice address:** 3677 COLLEGE RD, SUITE 13, FAIRBANKS, AK 99709-3712
- **Practice address phone:** (907) 479-3800
- **Practice address fax:** (907) 479-9195
- **Mailing address:** 3677 COLLEGE RD, SUITE 13, FAIRBANKS, AK 99709-3712
- **Mailing address phone:** (907) 479-3800
- **Mailing address fax:** (907) 479-9195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 207554 | AK | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 11/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215013263 | INDV NPI \# | AK |
| 01 | — | 1306090766 | NPI INDV\# | AK |
| 01 | — | 1326122722 | INDV NPI \# | AK |
| 01 | — | 1700961851 | INDV NPI \# | AK |
| 01 | — | 1912082090 | INDV NPI \# | AK |
| 01 | — | 1972643138 | NPI \# EQUINOX, INC | AK |
| 01 | — | KOOOOWCPGC | MEDICARE PTAN\# | AK |
| 05 | — | PT0306 | — | AK |
| 05 | — | PT0665 | — | AK |
| 05 | — | PT1607 | — | AK |
| 05 | — | PT1807 | — | AK |
| 05 | — | PT9414 | — | AK |