| Back In Action | |
|
1001 E Bogard Rd, Wasilla, AK 99654-7114 | |
| (907) 376-2225 | |
| (907) 376-9225 |
| Full Name | Back In Action |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1001 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 |
|---|---|---|---|
| 1356621395 | NPI | - | NPPES |
| 1683033 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| 225200000X | Physical Therapy Assistant | (NU) | Secondary |
| Provider Name | Michelle Hennessey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639132517 PECOS PAC ID: 7214267996 Enrollment ID: I20190926002198 |
| Provider Name | Cody Craig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730793605 PECOS PAC ID: 9739558040 Enrollment ID: I20230626000457 |
| Provider Name | Joshua Jacob |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164174975 PECOS PAC ID: 8426441304 Enrollment ID: I20250310001025 |
| Provider Name | Katherine Jacob |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659968337 PECOS PAC ID: 2860899325 Enrollment ID: I20250310001292 |
| Provider Name | Maxwell Pierce White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083365662 PECOS PAC ID: 0941692818 Enrollment ID: I20251113001327 |
| Provider Name | Jayci Shay Sivak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235966953 PECOS PAC ID: 6204360704 Enrollment ID: I20260106004094 |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Action 1001 E Bogard Rd, Wasilla, AK 99654-7114 Ph: (907) 372-7246 | Back In Action 1001 E Bogard Rd, Wasilla, AK 99654-7114 Ph: (907) 376-2225 |
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 |