MAVRICK KUZMIN DPT
NPI 1962938423
Physical Therapist - Orthopedic in Soldotna, AK

Q: What is Mavrick Kuzmin's NPI number?

The NPI number for Mavrick Kuzmin is 1962938423. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Q: What is Mavrick Kuzmin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mavrick Kuzmin was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 03, 2017

35249 KENAI SPUR HWY, SUITE C, SOLDOTNA, AK 99669(907) 420-0836 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mavrick Kuzmin Dpt NPPES

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

MAVRICK KUZMIN DPT (NPI 1962938423) is an individual orthopedic provider in Soldotna, Alaska, licensed in Alaska (115860) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1962938423

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMAVRICK KUZMINCredential: DPT

Location Address35249 KENAI SPUR HWY, SUITE CSoldotna, AK 99669-7623

Mailing Address35249 Kenai Spur Hwy, Suite CSoldotna, AK 99669-7623 · (907) 420-0836

Phone(907) 420-0836

Sole ProprietorNo

Enumeration DateMay 3, 2017

✔ NPI 1962938423 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 · 115860

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.

35249 KENAI SPUR HWY, Soldotna, AK 99669

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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Revolution Sport & Spine Therapy LLC

Same address

Orthopedic

35249 KENAI SPUR HWY, SUITE C
Soldotna, AK 99669

Reassigned Medicare billing, Alaska enrollment
25 clinicians in this Medicare group

NPI 1598215170 (541) 913-3089

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

928 services67 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

294 services49 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

291 services48 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

241 services44 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

37 services35 patients

Other Providers at the Same Location NPPES 7

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

LUIS ENRIQUE REYES MENDIETA

Physical Therapist

35249 KENAI SPUR HWY
SOLDOTNA, AK 99669

Kenai Peninsula Borough (907) 781-3227

ANGELA HARTER

Occupational Therapist

35249 KENAI SPUR HWY, UNIT C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (074) 200-8369

LAUREN ELIZABETH ANNE CLARKSON LMT

Massage Therapist

35249 KENAI SPUR HWY
SOLDOTNA, AK 99669

Kenai Peninsula Borough (907) 690-2892

REVOLUTION SPORT & SPINE THERAPY LLC

Physical Therapist (Orthopedic)

35249 KENAI SPUR HWY, SUITE C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (541) 913-3089

MIRA M SIMONSON PT

Physical Therapist (Orthopedic)

35249 KENAI SPUR HWY, STE C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (907) 420-0836

DR. BRYAN D FRAPP PT, DPT

Physical Therapist

35249 KENAI SPUR HWY, SUITE C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (806) 392-1773

MARK E CUNNINGHAM PT

Physical Therapist (Neurology)

35249 KENAI SPUR HWY, STE C
SOLDOTNA, AK 99669

Kenai Peninsula Borough (541) 913-3089

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 Mavrick Kuzmin's NPI number?

The NPI number for Mavrick Kuzmin is 1962938423. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Mavrick Kuzmin located?

Mavrick Kuzmin practices at 35249 Kenai Spur Hwy Suite C, Soldotna, AK 99669. The listed phone number is (907) 420-0836.

What is Mavrick Kuzmin's specialty?

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

Is Mavrick Kuzmin enrolled in Medicare?

Yes. Mavrick Kuzmin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mavrick Kuzmin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mavrick Kuzmin reassigns Medicare benefits to Revolution Sport & Spine Therapy LLC (Soldotna, 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 Mavrick Kuzmin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mavrick Kuzmin accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Mavrick Kuzmin 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 Mavrick Kuzmin was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.