Jacob Peck
NPI 1659120483 · Physical Therapy Assistant · Wasilla, AK
Provider details
- NPI number
- 1659120483
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA.0015525 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 3455 Rewak Dr Ste 106Fairbanks, AK 99709-5024Phone: (907) 457-5322
- 554 Hamlin Hwy Unit 2Lake Ariel, PA 18436-9319Phone: (570) 218-5405
Registry dates
- Enumerated
- 2024-05-14
- Last updated
- 2025-01-10
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.