JACK L WADE PT
NPI 1942368857
Physical Therapist in Wasilla, AK
About Jack L Wade Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK L WADE PT (NPI 1942368857) is an individual physical therapist in Wasilla, Alaska, licensed in Alaska (1762) and active in the NPI registry since December 2006.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack L Wade Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jack Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anchorage, AK 99507
- Reassigned Medicare billing, Alaska enrollment
- 99 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jack Wade's NPI number?
The NPI number for Jack Wade is 1942368857. It was assigned to this individual provider in the NPPES registry on December 4, 2006.
Where is Jack Wade located?
Jack Wade practices at 3035 Palmer Wasilla Hwy Ste 401, Wasilla, AK 99654. The listed phone number is (907) 376-8590.
What is Jack Wade's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jack Wade enrolled in Medicare?
Yes. Jack Wade is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jack Wade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Wade reassigns Medicare benefits to Advanced Physical Therapy Inc (Anchorage, AK). 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 Jack Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Wade accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jack Wade 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 Jack Wade was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.