NORTHERN EDGE PHYSICAL THERAPY
NPI 1467796359
Clinic/Center - Physical Therapy in Wasilla, AK

Active since November 16, 2012
984 N MERIDIAN PL STE A, WASILLA, AK 99654(907) 631-4029(907) 631-4128 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2022, Apr 27, 2018 (2 updates tracked since 2018).

About Northern Edge Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN EDGE PHYSICAL THERAPY (NPI 1467796359) is a healthcare organization registered as a physical therapy in Wasilla, Alaska and active in the NPI registry since November 2012. The organization lists Keith Poorbaugh, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1467796359
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameNORTHERN EDGE PHYSICAL THERAPY LLC
Location Address984 N MERIDIAN PL STE AWasilla, AK 99654-7215
Mailing Address984 N Meridian Pl # AWasilla, AK 99654-7215 · (907) 631-4029 · Fax (907) 631-4128
Fax(907) 631-4128
Organization SubpartNo
Authorized OfficialKeith PoorbaughOwner/manager · (907) 631-4029
Enumeration DateNovember 16, 2012
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1467796359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in AK · 1581
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
984 N MERIDIAN PL STE A, Wasilla, AK 99654

Other Names 1

Doing Business AsNorthern Edge Physical Therapy

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
984 N MERIDIAN PL STE A
WASILLA, AK 99654
Physical Therapist
984 N MERIDIAN PL STE A
WASILLA, AK 99654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Edge Physical Therapy LLC's NPI number?

The NPI number for Northern Edge Physical Therapy LLC is 1467796359. It was assigned to this organization in the NPPES registry on November 16, 2012. The provider is doing business as Northern Edge Physical Therapy.

Where is Northern Edge Physical Therapy LLC located?

Northern Edge Physical Therapy LLC is located at 984 N Meridian Pl Ste A, Wasilla, AK 99654. The listed phone number is (907) 631-4029.

What is Northern Edge Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Northern Edge Physical Therapy LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.