Optimum Health And Wellness Physical Therapy, Inc. | |
4079 Tongass Ave Ste 102, Ketchikan, AK 99901-5559 | |
(907) 225-7808 | |
(907) 247-7868 |
Full Name | Optimum Health And Wellness Physical Therapy, Inc. |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 4079 Tongass Ave Ste 102, Ketchikan, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649577578 | NPI | - | NPPES |
1571468 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 842 (Alaska) | Primary |
Provider Name | Kelly M Chick |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114098654 PECOS PAC ID: 4284615659 Enrollment ID: I20040601000531 |
Provider Name | Amanda M Schuler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801075544 PECOS PAC ID: 4385870450 Enrollment ID: I20131119001640 |
Provider Name | Nathan R Shields |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861466484 PECOS PAC ID: 7618867557 Enrollment ID: I20161107000711 |
Provider Name | Katelyn Keith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730567975 PECOS PAC ID: 7719298264 Enrollment ID: I20171009002568 |
Provider Name | Caleb Cross |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730564915 PECOS PAC ID: 5698085199 Enrollment ID: I20180815002788 |
Provider Name | Grayson Grzegorczyk |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316451776 PECOS PAC ID: 7416295761 Enrollment ID: I20190211003115 |
Provider Name | Mckay B Murdock |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962867226 PECOS PAC ID: 1456659028 Enrollment ID: I20190506001162 |
Provider Name | Ethan R Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669990024 PECOS PAC ID: 2668747106 Enrollment ID: I20190927002387 |
Provider Name | Jennifer B Jurewicz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477984789 PECOS PAC ID: 2769611375 Enrollment ID: I20200403001836 |
Provider Name | Hannah Donadio |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295111276 PECOS PAC ID: 7012224926 Enrollment ID: I20200409001694 |
Provider Name | Robert Hodges |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699107219 PECOS PAC ID: 9234373093 Enrollment ID: I20201201001667 |
Provider Name | David Costa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417329152 PECOS PAC ID: 1153731849 Enrollment ID: I20210122001306 |
Provider Name | Meredith Herbst |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225489982 PECOS PAC ID: 5294134284 Enrollment ID: I20210524002737 |
Provider Name | Rachel Cote |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124678115 PECOS PAC ID: 5698006625 Enrollment ID: I20220322000661 |
Provider Name | Steffen Lucas O'brien |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407402969 PECOS PAC ID: 6103154224 Enrollment ID: I20220322001415 |
Provider Name | Auburn C Bogart-palmisano |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215549407 PECOS PAC ID: 4880011451 Enrollment ID: I20220609003001 |
Provider Name | Morgan Bethanne Perrin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497418560 PECOS PAC ID: 0143618991 Enrollment ID: I20220615002668 |
Provider Name | Kayla Stull |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467042622 PECOS PAC ID: 9638585482 Enrollment ID: I20220804003315 |
Provider Name | Kristen Carter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497345052 PECOS PAC ID: 8123434883 Enrollment ID: I20220805001049 |
Provider Name | Kallee Wilson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760065403 PECOS PAC ID: 6103215058 Enrollment ID: I20220812001130 |
Provider Name | Bryanna Love |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073143467 PECOS PAC ID: 3072940675 Enrollment ID: I20221006000203 |
Provider Name | Samuel Corso |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649907437 PECOS PAC ID: 9133597602 Enrollment ID: I20221115002082 |
Provider Name | Matthew R Koval |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285147009 PECOS PAC ID: 3870857055 Enrollment ID: I20230220001512 |
Provider Name | Carly Ann Yoder |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740909993 PECOS PAC ID: 7810365871 Enrollment ID: I20230330001604 |
Provider Name | Ovidia Chacon Fierro |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417310996 PECOS PAC ID: 1254700024 Enrollment ID: I20230412000015 |
Provider Name | Julie E Vollbrecht |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215552419 PECOS PAC ID: 2365865243 Enrollment ID: I20230508002078 |
Provider Name | Samuel Joseph Vollbrecht |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881204923 PECOS PAC ID: 1759708290 Enrollment ID: I20230509001859 |
Provider Name | Morgan E Wellenzohn |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225733595 PECOS PAC ID: 6305203290 Enrollment ID: I20230608000885 |
Provider Name | Dylan J Lodowski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972275972 PECOS PAC ID: 0547627317 Enrollment ID: I20230609001021 |
Provider Name | Emma E Lehman |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336827187 PECOS PAC ID: 4587027198 Enrollment ID: I20230830001608 |
Provider Name | Jenifer Redinger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902217631 PECOS PAC ID: 3375906878 Enrollment ID: I20230831001224 |
Provider Name | Sarah J Griffin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184400301 PECOS PAC ID: 4082069471 Enrollment ID: I20231004001813 |
Provider Name | Jacob W Sharp |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033870092 PECOS PAC ID: 5193170090 Enrollment ID: I20231012002717 |
Provider Name | Kaylee R Fichthorn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811503600 PECOS PAC ID: 1850747122 Enrollment ID: I20231023001300 |
Provider Name | Justin L Thomas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518439470 PECOS PAC ID: 4082037981 Enrollment ID: I20240328003532 |
Provider Name | Brooke Alexandra Merrill |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235852658 PECOS PAC ID: 7113397126 Enrollment ID: I20240328003640 |
Provider Name | Jaren L Warren |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518036474 PECOS PAC ID: 7911960422 Enrollment ID: I20240404003135 |
Provider Name | Cecelia A Kane |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760039002 PECOS PAC ID: 7810338019 Enrollment ID: I20240517002260 |
Mailing Address | Practice Location Address |
---|---|
Optimum Health And Wellness Physical Therapy, Inc. 4079 Tongass Ave Ste 102, Ketchikan, AK 99901-5559 Ph: (907) 225-7808 | Optimum Health And Wellness Physical Therapy, Inc. 4079 Tongass Ave Ste 102, Ketchikan, AK 99901-5559 Ph: (907) 225-7808 |
Kelly M Chick, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1438 Millar St, Ketchikan, AK 99901 Phone: 907-247-7355 | |
Raquelle Elizabeth Felder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2442 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-7808 | |
Elysse Cillay, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2442 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-7808 | |
Traverse Movement & Performance Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1621 Tongass Ave Ste 207, Ketchikan, AK 99901 Phone: 907-921-1330 Fax: 907-931-6112 | |
Amanda Schuler, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 Water St Ste 101, Ketchikan, AK 99901 Phone: 907-617-2052 Fax: 907-247-3293 | |
Kyle Paul Brunelle, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2442 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-7808 |