- Medicare Physical Therapist in Wasilla, AK

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is a medicare enrolled "Physical Therapist" provider in Wasilla, Alaska. Their current practice location is 401 E Bogard Rd, Wasilla, Alaska. You can reach out to their office (for appointments etc.) via phone at (907) 357-2578.

is licensed to practice in Alaska (license number PT 1175) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295761625.

Contact Information

401 E Bogard Rd,
Wasilla, AK 99654-7108
(907) 357-2578
(907) 357-2529

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPhysical Therapist
Location401 E Bogard Rd, Wasilla, Alaska
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295761625
  • Provider Enumeration Date: 06/25/2006
  • Last Update Date: 06/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0042109936
  • Enrollment ID: O20040310001208

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295761625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT 1175 (Alaska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMary M Olsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558303396
PECOS PAC ID: 3173584364
Enrollment ID: I20041021000171
Provider NameRussell W Burlingame
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003861667
PECOS PAC ID: 1254356520
Enrollment ID: I20051006000520
Provider NamePamela J Burlingame
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144256561
PECOS PAC ID: 2365467644
Enrollment ID: I20051006000539
Provider NameJacob B Arvidson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689620643
PECOS PAC ID: 1052314713
Enrollment ID: I20060818000066
Provider NameKimberly A Prayner
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1336491380
PECOS PAC ID: 9830334788
Enrollment ID: I20130325000109
Provider NameHeather Diane Wengler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366529760
PECOS PAC ID: 7719134840
Enrollment ID: I20140930002009
Provider NameTeresa R Gool
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871950824
PECOS PAC ID: 5395030308
Enrollment ID: I20160829003016
Provider NameKimberly A Prayner
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1336491380
PECOS PAC ID: 9830334788
Enrollment ID: I20161018003002
Provider NameRonald P Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255674628
PECOS PAC ID: 2567721525
Enrollment ID: I20180119000636
Provider NameValerie Lynn Von Stroh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801303870
PECOS PAC ID: 1355600115
Enrollment ID: I20180612000511
Provider NameLori A. Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962745422
PECOS PAC ID: 7113265521
Enrollment ID: I20190211000816
Provider NameMallory J Wilkins
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1841855814
PECOS PAC ID: 9830422468
Enrollment ID: I20190612004007
Provider NameHeidi K Bunde
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1154934784
PECOS PAC ID: 2961822986
Enrollment ID: I20201013002654
Provider NameGina N Phillips
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164940722
PECOS PAC ID: 6800160110
Enrollment ID: I20210630001154
Provider NameHailey Blanchard Jamar
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851748503
PECOS PAC ID: 3274910989
Enrollment ID: I20220519000234
Provider NameAmanda Renee Carver
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1174254627
PECOS PAC ID: 9032590997
Enrollment ID: I20220722002900
Provider NameStacy M Thomas
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1639425994
PECOS PAC ID: 6709256522
Enrollment ID: I20230111002640
Provider NameCarol A Labrie
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1891304036
PECOS PAC ID: 6608292354
Enrollment ID: I20230706002279
Provider NameKathryn G.s. Tiemessen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073399572
PECOS PAC ID: 2860847654
Enrollment ID: I20231013002897
Provider NameAlexis M Burton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972355006
PECOS PAC ID: 5294277125
Enrollment ID: I20240607000024
Provider NameKristin R Shelton
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366287252
PECOS PAC ID: 7416495023
Enrollment ID: I20240814002232
Provider NameTaylor A Gallagher
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1124855341
PECOS PAC ID: 6709310394
Enrollment ID: I20241105000860
Provider NameNicole L Neisen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760968200
PECOS PAC ID: 3577930692
Enrollment ID: I20241112000767

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. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

401 E Bogard Rd,
Wasilla, AK 99654-7108

Ph: (907) 357-2578
401 E Bogard Rd,
Wasilla, AK 99654-7108

Ph: (907) 357-2578

Reviews and Comments


Physical Therapist in Wasilla, AK

Amy Lynn Sauck, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1700 E Bogard Rd, Suite B203, Wasilla, AK 99654
Phone: 907-376-4325    
Russell Burlingame, PT, MS
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Bogard Rd, Wasilla, AK 99654
Phone: 907-357-2578    
Keith Poorbaugh, PT, SCD, OCS, FAAOMP
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 984 N Meridian Pl, # A, Wasilla, AK 99654
Phone: 907-631-4029    Fax: 907-631-4128
Jessica Ann Bruscher, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3543 E. Meridian Park Loop, Wasilla, AK 99654
Phone: 605-280-8413    
Andrea Stauner,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Bogard Rd, Wasilla, AK 99654
Phone: 907-357-2578    Fax: 907-357-2529
Wasilla Physical Therapy Inc.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3750 E Country Field Cir Ste A, Wasilla, AK 99654
Phone: 907-376-7334    Fax: 907-373-1429
Marcia Everson, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 650 N Shoreline Dr, Wasilla, AK 99654
Phone: 907-376-6363    Fax: 907-376-6366

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.