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VACCA PHYSIATRY LLC
NPI 1528456696
Clinic/Center - Medical Specialty in Eagle River, AK

Active since December 24, 2014
10928 EAGLE RIVER RD, SUITE 104, EAGLE RIVER, AK 99577(907) 622-1300 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vacca Physiatry Llc NPPES

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

VACCA PHYSIATRY LLC (NPI 1528456696) is a healthcare organization registered as a medical specialty in Eagle River, Alaska and active in the NPI registry since December 2014. The organization lists Brian D Vacca, Owner/sole Provider, as its authorized official.

NPPES Registry Identity

NPI1528456696
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameVACCA PHYSIATRY LLC
Location Address10928 EAGLE RIVER RD, SUITE 104Eagle River, AK 99577-8078
Mailing Address10928 Eagle River Rd, Suite 104Eagle River, AK 99577-8078 · (907) 622-1300
Phone(907) 622-1300
Organization SubpartNo
Authorized OfficialBrian D VaccaOwner/sole Provider · (907) 622-1300
Enumeration DateDecember 24, 2014
Last NPPES UpdateJune 7, 2016
✔ NPI 1528456696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in AK · 103783
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 51455 (MN)
10928 EAGLE RIVER RD, Eagle River, AK 99577
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

NERVANA HEALTH SOLUTIONS LLC
Pain Medicine (Interventional Pain Medicine)
10928 EAGLE RIVER RD, # 104
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-1300
KAITLYN ANDREA MOORE OD
Optometrist
10928 EAGLE RIVER RD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-2020
NORTHERN ANESTHESIA AND PAIN MEDICINE, LLC
Anesthesiology
10928 EAGLE RIVER RD, SUITE 240
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-7246
DR. BRIAN DOMENIC VACCA MD
Physical Medicine & Rehabilitation
10928 EAGLE RIVER RD, SUITE 104
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-1300
MRS. VIVIEN WATTS TINCHER MS, LPC, CDCII, MAC,
Counselor (Professional)
10928 EAGLE RIVER RD, SUITE 140
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-8462
DR. HAL E HAGGE O.D.
Optometrist (Corneal and Contact Management)
10928 EAGLE RIVER RD, STE.# 102
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-2020
MRS. MARY ELIZABETH SMITH ANP
Nurse Practitioner (Family)
10928 EAGLE RIVER RD, STE 254
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-5522
DR. ALFRED MONTAGUE LAND IV DMD
Dentist (General Practice)
10928 EAGLE RIVER RD, SUITE 250
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-4987

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 Vacca Physiatry LLC's NPI number?

The NPI number for Vacca Physiatry LLC is 1528456696. It was assigned to this organization in the NPPES registry on December 24, 2014.

Where is Vacca Physiatry LLC located?

Vacca Physiatry LLC is located at 10928 Eagle River Rd Suite 104, Eagle River, AK 99577. The listed phone number is (907) 622-1300.

What is Vacca Physiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Vacca Physiatry LLC was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.