Jaded Body Wellness & Spine Institute, LLC
NPI 1306108543 · Physical Therapist · Wasilla, AK
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaded Body Wellness & Spine Institute, LLC is a Physical Therapist organization in Wasilla, AK (NPI 1306108543).
Provider details
- NPI number
- 1306108543
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Caprice Carter, Billing(907) 631-0600
- License
- 2028 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Frequently asked questions
- What is Jaded Body Wellness & Spine Institute, LLC's NPI number?
- Jaded Body Wellness & Spine Institute, LLC's National Provider Identifier (NPI) is 1306108543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jaded Body Wellness & Spine Institute, LLC?
- Jaded Body Wellness & Spine Institute, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jaded Body Wellness & Spine Institute, LLC located?
- Jaded Body Wellness & Spine Institute, LLC's practice location on file with NPPES is 645 N Jessica Brooke Circle, Wasilla, AK 99654-7333.
- What is Jaded Body Wellness & Spine Institute, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jaded Body Wellness & Spine Institute, LLC is (907) 631-0600.
- Does Jaded Body Wellness & Spine Institute, LLC accept Medicare?
- Jaded Body Wellness & Spine Institute, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jaded Body Wellness & Spine Institute, LLC?
- The authorized official listed on Jaded Body Wellness & Spine Institute, LLC's NPPES record is Caprice Carter, Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jaded Body Wellness & Spine Institute, LLC's NPI active?
- Yes — Jaded Body Wellness & Spine Institute, LLC's NPI (1306108543) is active in the NPPES registry as of the last update on 2024-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.