Hayden Matthew Niekamp, DPT | |
645 N Jessica Brooke Cir Ste C, Wasilla, AK 99654-7333 | |
(907) 631-0600 | |
Not Available |
Full Name | Hayden Matthew Niekamp |
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Gender | Male |
Speciality | Physical Therapist |
Location | 645 N Jessica Brooke Cir Ste C, Wasilla, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851964126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Select Physical Therapy Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1699743484 PECOS PAC ID: 9537076401 Enrollment ID: O20151117000542 |
Mailing Address | Practice Location Address |
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Hayden Matthew Niekamp, DPT 15071 E Outer Springer Loop, Palmer, AK 99645-9048 Ph: (907) 631-8542 | Hayden Matthew Niekamp, DPT 645 N Jessica Brooke Cir Ste C, Wasilla, AK 99654-7333 Ph: (907) 631-0600 |
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 |