| Wasilla Physical Therapy Inc. | |
|
3750 E Country Field Cir Ste A, Wasilla, AK 99654-6659 | |
| (907) 376-7334 | |
| (907) 373-1429 |
| Full Name | Wasilla Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3750 E Country Field Cir Ste A, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023364205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kelsey Gann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285125963 PECOS PAC ID: 2567705999 Enrollment ID: I20190528001224 |
| Provider Name | Arianna Mattila |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275189953 PECOS PAC ID: 8224360003 Enrollment ID: I20191028002629 |
| Provider Name | Grant Robert Moravec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619593977 PECOS PAC ID: 3870917297 Enrollment ID: I20200717003078 |
| Provider Name | Gina N Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164940722 PECOS PAC ID: 6800160110 Enrollment ID: I20210630001154 |
| Provider Name | Jaclyn Roe Scanlan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902570542 PECOS PAC ID: 4486052735 Enrollment ID: I20211018001334 |
| Provider Name | Derick Mitchell Hass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023789005 PECOS PAC ID: 9436549383 Enrollment ID: I20211208000559 |
| Provider Name | Katie Louise Riedell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316697345 PECOS PAC ID: 8729466149 Enrollment ID: I20220525002223 |
| Provider Name | Andrew Marino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396493540 PECOS PAC ID: 9739553876 Enrollment ID: I20240222000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Wasilla Physical Therapy Inc. 3750 E Country Field Cir Ste A, Wasilla, AK 99654-6659 Ph: (907) 376-7334 | Wasilla Physical Therapy Inc. 3750 E Country Field Cir Ste A, Wasilla, AK 99654-6659 Ph: (907) 376-7334 |
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 | |
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 |