Provider Demographics
NPI:1720195548
Name:HALFPENNY, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HALFPENNY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8846 DOME CIR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8560
Mailing Address - Country:US
Mailing Address - Phone:907-726-5888
Mailing Address - Fax:
Practice Address - Street 1:13036 OLD GLENN HWY STE D
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7566
Practice Address - Country:US
Practice Address - Phone:907-726-5888
Practice Address - Fax:907-726-5886
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2025-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1325OtherLICENSE #