ARCTIC PHYSICAL MEDICINE WASILLA
NPI 1790184646
Family Medicine in Wasilla, AK

Active since August 16, 2014
1830 E PARKS HWY STE A120, WASILLA, AK 99654(206) 713-4721 Get Directions Write a Review

NPPES record last updated: August 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arctic Physical Medicine Wasilla NPPES

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

ARCTIC PHYSICAL MEDICINE WASILLA (NPI 1790184646) is a healthcare organization registered as a family medicine in Wasilla, Alaska and active in the NPI registry since August 2014. The organization lists Kyle T Bergquist, Owner, as its authorized official.

NPPES Registry Identity

NPI1790184646
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARCTIC PHYSICAL MEDICINE WASILLA
Location Address1830 E PARKS HWY STE A120Wasilla, AK 99654-7380
Mailing Address1830 E Parks Hwy Ste A120Wasilla, AK 99654-7380
Organization SubpartNo
Authorized OfficialKyle T BergquistOwner · (206) 713-4721
Enumeration DateAugust 16, 2014
NPI 1790184646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AK · 1305
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1830 E PARKS HWY STE A120, Wasilla, AK 99654

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Massage Therapist
1830 E PARKS HWY STE A120
WASILLA, AK 99654
Massage Therapist
1830 E PARKS HWY STE A120
WASILLA, AK 99654
Massage Therapist
1830 E PARKS HWY STE A120
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 Arctic Physical Medicine Wasilla's NPI number?

The NPI number for Arctic Physical Medicine Wasilla is 1790184646. It was assigned to this organization in the NPPES registry on August 16, 2014.

Where is Arctic Physical Medicine Wasilla located?

Arctic Physical Medicine Wasilla is located at 1830 E Parks Hwy Ste A120, Wasilla, AK 99654. The listed phone number is (206) 713-4721.

What is Arctic Physical Medicine Wasilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Arctic Physical Medicine Wasilla was last updated on August 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.