Restoration Wellness, LLC
NPI 1962953810 · Primary Care Clinic/Center · Wasilla, AK
Restoration Wellness, LLC is a Primary Care Clinic/Center organization in Wasilla, AK (NPI 1962953810).
Provider details
- NPI number
- 1962953810
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lydia Petersen, Owner(907) 376-7300
- License
- 1042971 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-10-16
- Last updated
- 2016-12-30
Frequently asked questions
- What is Restoration Wellness, LLC's NPI number?
- Restoration Wellness, LLC's National Provider Identifier (NPI) is 1962953810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Restoration Wellness, LLC?
- Restoration Wellness, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Restoration Wellness, LLC located?
- Restoration Wellness, LLC's practice location on file with NPPES is 5805 E Columbus Way, Wasilla, AK 99654-7831.
- What is Restoration Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Restoration Wellness, LLC is (907) 376-7300.
- Who is the authorized official for Restoration Wellness, LLC?
- The authorized official listed on Restoration Wellness, LLC's NPPES record is Lydia Petersen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Restoration Wellness, LLC's NPI active?
- Yes — Restoration Wellness, LLC's NPI (1962953810) is active in the NPPES registry as of the last update on 2016-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.