NORTHERN EDGE PHYSICAL THERAPY LLC


Address: 984 N Meridian Pl Ste A, Wasilla, AK 99654-7215
Phone: 9076314029

NORTHERN EDGE PHYSICAL THERAPY LLC (NPI# 1467796359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467796359
Entity Type Organization
Organization Name NORTHERN EDGE PHYSICAL THERAPY LLC
Other Organization Name NORTHERN EDGE PHYSICAL THERAPY
Practice Address 984 N Meridian Pl Ste A
Wasilla
AK 99654-7215
Mailing Address 984 N Meridian Pl # A
Wasilla
AK 99654-7215
Practice Telephone 9076314029
Practice Fax Number 9076314128
Mailing Telephone 9076314029
Mailing Fax Number 9076314128
Enumeration Date 2012-11-16
Last Update Date 2018-04-27
Authorized Official Name KEITH POORBAUGH (OWNER/MANAGER)
Authorized Official Telephone 9076314029
Authorized Official Credential PT, SCD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
1581 AK Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Northern Edge Physical Therapy Doing Business As Name - Organization

Office Location

Street Address 984 N MERIDIAN PL STE A
City WASILLA
State AK
Zip Code 99654-7215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548407497 Jeanette Stack Massage Therapist 984 N Meridian Pl Ste A, Wasilla, AK 99654-7215 2009-01-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003426784 Colleen Maggie Newcity Case Manager/Care Coordinator 851 Westpoint Suite 310, Wasilla, AK 99654 2020-08-06
1659995884 Amy M Lowe Peer Specialist 1363 W Spuce Ave, Wasilla, AK 99654 2020-06-03
1922648690 Achieve Medical Alaska LLC Clinic/Center 1981 E Palmer, Suite 230, Wasilla, AK 99654 2020-01-10
1588205538 Juan Carlos Garcia Physician Assistant 950 East Bogard Road, Suite 103, Wasilla, AK 99654 2019-10-01
1427610864 Sharon Webb Counselor 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 2019-07-06
1306401864 Logan Lee Cook Peer Specialist 2953 E Fairview Loop, Wasilla, AK 99654 2019-05-09
1053883595 Moose Creek Medical Clinic LLC Nurse Practitioner 2341 S. Fern St., Suite 300, Wasilla, AK 99654 2018-12-21
1487124962 Melissa A Stevens Massage Therapist 2201 W That Rd, Wasilla, AK 99654 2018-11-28
1609359561 Audrey E Beers Midwife 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 2018-09-07
1093297418 Karlee Janine Mccorry Occupational Therapist 613 S Knik-goose Bay Rd, Wasilla, AK 99654 2018-09-01
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588116909 Medical Group of Alaska Clinic/Center 3190 E Meridian Park Loop, 206a, Wasilla, AK 99654-7422 2016-11-02
1952717092 Raven's Song Rehabilitation, LLC Clinic/Center 6811 W Scatters Way, Wasilla, AK 99623-0878 2014-07-09
1730131467 Excel Physical Therapy Limited Partnership Clinic/Center 1700 E Bogard Rd, Bldg B #203, Wasilla, AK 99654-6563 2006-05-17
1033758891 Wu's Wellness LLC Clinic/Center 1700 E Bogard Rd Ste A203, Wasilla, AK 99654-6569 2019-12-27
1891208351 Medical Group of Alaska, LLC Clinic/Center 3190 E Meridian Park Loop Ste 206a, Wasilla, AK 99654-7422 2017-11-07
1316478761 Health Quest Therapy Clinic/Center 650 N Shoreline Dr, Wasilla, AK 99654-6677 2017-03-27
1821445636 Rise Diagnostics, LLC Clinic/Center 3066 E Meridian Park Loop Ste 101, Wasilla, AK 99654 2016-05-22
1205850674 First Choice Physical Therapy, Inc. Clinic/Center 6701 W. Blondell St., Wasilla, AK 99654 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457979551 Cooper Rehabilitation and Wellness, LLC Clinic/Center 115 Wooded Glen Ct, Kenai, AK 99611-6867 2020-07-06
1386268449 Kesugi LLC Clinic/Center 36451 Birch Rd, Soldotna, AK 99669-9966 2020-06-04
1821617747 Aurora Physical Therapy, LLC Clinic/Center 12601 Bona Kim Loop, Anchorage, AK 99515-4328 2020-04-10
1366083941 Select Physical Therapy Holdings, Inc. Clinic/Center 220 Main Street Loop Unit A, Kenai, AK 99611-7724 2019-10-04
1871145995 Recovery Waters Physical Therapy LLC Clinic/Center 9131 E Frontage Rd Ste 1, Palmer, AK 99645-9318 2019-07-09
1700445061 Community Physical Therapy, Inc. Clinic/Center 4101 Arctic Blvd Ste 102, Anchorage, AK 99503-5702 2019-06-11
1497131049 Vertical Physical Therapy LLC Clinic/Center 9109 Mendenhall Mall Rd Ste 5k, Juneau, AK 99801-7136 2015-08-05
1477936334 Arctic Therapy and Rehab Bethel Clinic/Center 108 B Blackberry, Bethel, AK 99559-3466 2015-07-09
1154715928 Relax Your Mind, Body and Soul Clinic/Center 559 Golden Morn St, Fairbanks, AK 99712 2015-03-19
1720416886 Bodyiq Physical Therapy and Yoga Clinic/Center 322 Bartlett Blvd, Haines, AK 99827 2013-10-28
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Competitor

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City WASILLA
Zip Code 99654

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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