| Northern Edge Physical Therapy Limited Partnership | |
|
984 N Meridian Pl, Wasilla, AK 99654-7215 | |
| (907) 631-4029 | |
| Not Available |
| Full Name | Northern Edge Physical Therapy Limited Partnership |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 984 N Meridian Pl, 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 |
|---|---|---|---|
| 1497538474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Keith A Poorbaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003971037 PECOS PAC ID: 1850352469 Enrollment ID: I20041026000587 |
| Provider Name | Garrick D Herr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992898951 PECOS PAC ID: 6406856319 Enrollment ID: I20061227000240 |
| Provider Name | James Sliwa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013460625 PECOS PAC ID: 9335434984 Enrollment ID: I20160823000022 |
| Provider Name | Etta Marie Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366000150 PECOS PAC ID: 1759719750 Enrollment ID: I20200324003426 |
| Provider Name | Ashley Suzanne Granath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023622370 PECOS PAC ID: 1456753029 Enrollment ID: I20210706002561 |
| Provider Name | Beverly Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457961823 PECOS PAC ID: 2769895283 Enrollment ID: I20230606002228 |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Edge Physical Therapy Limited Partnership 984 N Meridian Pl, Wasilla, AK 99654-7215 Ph: (907) 631-4029 | Northern Edge Physical Therapy Limited Partnership 984 N Meridian Pl, Wasilla, AK 99654-7215 Ph: (907) 631-4029 |
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 | |
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 |