| Alyeska Therapy Center, Inc. | |
|
401 E Bogard Rd, Wasilla, AK 99654-7108 | |
| (907) 357-2578 | |
| (907) 357-2529 |
| Full Name | Alyeska Therapy Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 401 E Bogard Rd, 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 |
|---|---|---|---|
| 1295761625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 1175 (Alaska) | Primary |
| Provider Name | Mary M Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558303396 PECOS PAC ID: 3173584364 Enrollment ID: I20041021000171 |
| Provider Name | Russell W Burlingame |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003861667 PECOS PAC ID: 1254356520 Enrollment ID: I20051006000520 |
| Provider Name | Jacob B Arvidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689620643 PECOS PAC ID: 1052314713 Enrollment ID: I20060818000066 |
| Provider Name | Kimberly A Prayner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336491380 PECOS PAC ID: 9830334788 Enrollment ID: I20130325000109 |
| Provider Name | Kimberly A Prayner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336491380 PECOS PAC ID: 9830334788 Enrollment ID: I20161018003002 |
| Provider Name | Ronald P Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255674628 PECOS PAC ID: 2567721525 Enrollment ID: I20180119000636 |
| Provider Name | Valerie Lynn Von Stroh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801303870 PECOS PAC ID: 1355600115 Enrollment ID: I20180612000511 |
| Provider Name | Lori A. Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962745422 PECOS PAC ID: 7113265521 Enrollment ID: I20190211000816 |
| Provider Name | Esther Bautis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083243489 PECOS PAC ID: 7113345174 Enrollment ID: I20200908003282 |
| Provider Name | Amanda Renee Carver |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174254627 PECOS PAC ID: 9032590997 Enrollment ID: I20220722002900 |
| Provider Name | Stacy M Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639425994 PECOS PAC ID: 6709256522 Enrollment ID: I20230111002640 |
| Provider Name | Kathryn G.s. Tiemessen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073399572 PECOS PAC ID: 2860847654 Enrollment ID: I20231013002897 |
| Provider Name | Kristin R Shelton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366287252 PECOS PAC ID: 7416495023 Enrollment ID: I20240814002232 |
| Provider Name | Corbin R Flaming |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205633351 PECOS PAC ID: 6608399589 Enrollment ID: I20250401002587 |
| Provider Name | Madison Nicole Hibdon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134826373 PECOS PAC ID: 3971086422 Enrollment ID: I20260312001323 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyeska Therapy Center, Inc. 401 E Bogard Rd, Wasilla, AK 99654-7108 Ph: (907) 357-2578 | Alyeska Therapy Center, Inc. 401 E Bogard Rd, Wasilla, AK 99654-7108 Ph: (907) 357-2578 |
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 |
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 |
Derick Mitchell Hass, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3750 E Country Field Cir Ste A, Wasilla, AK 99654 Phone: 907-376-7334 |