Willow Physical Therapy, Limited | |
544 4th Ave # 102, Fairbanks, AK 99701-4714 | |
(907) 456-5990 | |
(907) 374-8023 |
Full Name | Willow Physical Therapy, Limited |
---|---|
Type | Facility |
Speciality | Physical Therapist - Orthopedic |
Location | 544 4th Ave # 102, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831123165 | NPI | - | NPPES |
1021170 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 183875 (Alaska) | Primary |
Provider Name | Aisha C Wilbur |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619113123 PECOS PAC ID: 6204992589 Enrollment ID: I20091009000272 |
Provider Name | Sharon Richards |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952324618 PECOS PAC ID: 5597957068 Enrollment ID: I20101004000412 |
Provider Name | Courtney Heinz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417237041 PECOS PAC ID: 9931424728 Enrollment ID: I20160330000337 |
Provider Name | Hannah M Petersen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518313006 PECOS PAC ID: 6002152584 Enrollment ID: I20190104002078 |
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 | Jill Mary Vandeloo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285993626 PECOS PAC ID: 2365608676 Enrollment ID: I20190625001493 |
Provider Name | Tamara Dziadek |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417956061 PECOS PAC ID: 9234129321 Enrollment ID: I20200206000144 |
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 | Annamarie Gerick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902387079 PECOS PAC ID: 1850641077 Enrollment ID: I20200920000005 |
Provider Name | Gabriela J Guerron |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841805736 PECOS PAC ID: 3274943121 Enrollment ID: I20201103003092 |
Provider Name | Paul Edward Spann |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467932483 PECOS PAC ID: 3375895170 Enrollment ID: I20201210000623 |
Provider Name | Natalie J Allen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871052654 PECOS PAC ID: 6608280573 Enrollment ID: I20210204001800 |
Provider Name | Amy E Wolkin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164951794 PECOS PAC ID: 5698048197 Enrollment ID: I20210423000923 |
Provider Name | George Homan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689129520 PECOS PAC ID: 5294074738 Enrollment ID: I20210610001811 |
Provider Name | Clint Raymer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245822931 PECOS PAC ID: 1456766971 Enrollment ID: I20211209002701 |
Provider Name | Caroline Rose Shea |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689345167 PECOS PAC ID: 6406242379 Enrollment ID: I20220331002167 |
Provider Name | Kayla A Moore |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346991205 PECOS PAC ID: 1658767579 Enrollment ID: I20220401000776 |
Provider Name | Madison Smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790381291 PECOS PAC ID: 1052729217 Enrollment ID: I20220525002226 |
Provider Name | Christina Elizabeth Cesarz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275185712 PECOS PAC ID: 6800274234 Enrollment ID: I20220525002877 |
Provider Name | Natalie Schmutz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477129864 PECOS PAC ID: 5193124816 Enrollment ID: I20220526000601 |
Provider Name | Mikela Nylander-french |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790434827 PECOS PAC ID: 2961880257 Enrollment ID: I20220526002616 |
Provider Name | Tanner Zachry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598333866 PECOS PAC ID: 4284034893 Enrollment ID: I20220531000482 |
Provider Name | Magally A Felipe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154050433 PECOS PAC ID: 4789067083 Enrollment ID: I20221209000751 |
Provider Name | Keoni L Felipe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215673801 PECOS PAC ID: 7911376173 Enrollment ID: I20221209000848 |
Provider Name | Cassidee R Stumbo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174220362 PECOS PAC ID: 5698140291 Enrollment ID: I20230413000713 |
Provider Name | Phison D Vy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154917813 PECOS PAC ID: 6901218718 Enrollment ID: I20230510003349 |
Provider Name | Taylor K Vy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316543929 PECOS PAC ID: 9638581606 Enrollment ID: I20230511001885 |
Provider Name | Steven L Richards |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043719198 PECOS PAC ID: 8022370774 Enrollment ID: I20230703001342 |
Provider Name | Raquel S Koch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760132823 PECOS PAC ID: 2264896729 Enrollment ID: I20240611002147 |
Mailing Address | Practice Location Address |
---|---|
Willow Physical Therapy, Limited 544 4th Ave Ste 102, Fairbanks, AK 99701-4714 Ph: (907) 456-5990 | Willow Physical Therapy, Limited 544 4th Ave # 102, Fairbanks, AK 99701-4714 Ph: (907) 456-5990 |
Tara J Scogin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, Suite 201, Fairbanks, AK 99701 Phone: 907-374-0992 | |
Mrs. Johnna Renee Underwood, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 459 Farmers Loop Rd, Fairbanks, AK 99712 Phone: 907-550-0587 | |
Susan Grace Mcdiarmid, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 751 Old Richardson Hwy, #202, Fairbanks, AK 99701 Phone: 907-455-4401 Fax: 907-455-4402 | |
Ms. Mary Jones, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2166 Yellow Leaf Ct, Fairbanks, AK 99709 Phone: 907-455-6875 | |
Emily Roberts Rogers, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way, Ste 201, Fairbanks, AK 99701 Phone: 907-374-0992 Fax: 907-374-0986 | |
Elizabeth Lee Myers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 418 3rd St Ste 1b, Fairbanks, AK 99701 Phone: 907-374-0225 Fax: 907-308-4025 | |
Annette Freymueller, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1258 Viewpointe Dr, Fairbanks, AK 99709 Phone: 907-479-3550 |