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OSHERAY STREETER DPT
NPI 1801433099
Physical Therapist - Orthopedic in Fairbanks, AK

Active since December 06, 2019
3455 REWAK DR STE 106, FAIRBANKS, AK 99709(907) 457-5322 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2025, Dec 6, 2019 (2 updates tracked since 2019).

About Osheray Streeter Dpt NPPES

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

OSHERAY STREETER DPT (NPI 1801433099) is an individual orthopedic provider in Fairbanks, Alaska, licensed in Alaska (148772) and active in the NPI registry since December 2019. He maintains a secondary practice location in Bellevue and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801433099
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameOSHERAY STREETERCredential: DPT
Location Address3455 REWAK DR STE 106Fairbanks, AK 99709-5024
Mailing Address3455 Rewak Dr Ste 106Fairbanks, AK 99709-5024 · (907) 457-5322
Phone(907) 457-5322
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 6, 2019
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1801433099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in AK · 148772
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
3455 REWAK DR STE 106, Fairbanks, AK 99709
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Secondary Practice Location 1

Location 11560 140th Ave NE Ste 100Bellevue, WA 98005-4571 · Phone (425) 746-2475

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Osheray Streeter Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274969399
PECOS Enrollment IDI20251014001034

Medicare Billing Reassignment

Medicare enrollment records show Osheray Streeter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mikla Dunning Physical Therapy Systems, PC
2,110 mi
Physical Therapy
4990 HILLSDALE CIR
El Dorado Hills, CA 95762
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1619334992 (916) 342-4190

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

CONOR D BRYAN
Physical Therapist
3455 REWAK DR STE 106
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 457-5322
JASON PATRICK PROUD DPT
Physical Therapist
3455 REWAK DR STE 106
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 457-5322
STACY K REYES DAVID
Physical Therapy Assistant
3455 REWAK DR STE 106
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 457-5322
REBECCAH JEAN CENTOLA PTA
Physical Therapy Assistant
3455 REWAK DR STE 106
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 457-5322
SAVANNA MEYER
Physical Therapist
3455 REWAK DR STE 106
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 457-5322
BRETT WOODS
Physical Therapy Assistant
3455 REWAK DR STE 106
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 457-5322

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 Osheray Streeter's NPI number?

The NPI number for Osheray Streeter is 1801433099. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Osheray Streeter located?

Osheray Streeter practices at 3455 Rewak Dr Ste 106, Fairbanks, AK 99709. The listed phone number is (907) 457-5322.

What is Osheray Streeter's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Osheray Streeter enrolled in Medicare?

Yes. Osheray Streeter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Osheray Streeter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Osheray Streeter reassigns Medicare benefits to Mikla Dunning Physical Therapy Systems, PC (El Dorado Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Osheray Streeter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Osheray Streeter accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Osheray Streeter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Osheray Streeter was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.