OrganizationActive
Northern Edge Physical Therapy LLC
NPI 1467796359 · Physical Therapy Clinic/Center · Wasilla, AK
Provider details
- NPI number
- 1467796359
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keith Poorbaugh, Owner/Manager(907) 631-4029
- License
- 1581 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
984 N Meridian Pl Ste a
Wasilla, AK 99654-7215
Phone: (907) 631-4029
Fax: (907) 631-4128
Approximate (ZIP-level) locationGet directions
Mailing address
984 N Meridian Pl # a
Wasilla, AK 99654-7215
Other names (DBA / former)
- Doing business as
- Northern Edge Physical Therapy
Registry dates
- Enumerated
- 2012-11-16
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.