Amy Lynn Sauck, DPT
Individual provider Active NPI Physical Therapist · Wasilla, AK
NPI 1003076571 · NPPES record last updated Jun 3, 2014
Key facts
- NPI
- 1003076571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2689 (AK)
- Practice address
- 1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6563 - Phone
- (907) 376-4325
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6570
Phone (907) 921-5088
33455 Sterling Hwy
Sterling, AK 99672-9200
Phone (907) 262-7748
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140926002289 | AK | Practitioner - Physical Therapist in Private Practice | 9032339940 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt a. Heilala, DPM Inc. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current |
Accepting new patients | |
| Matt a. Heilala, DPM Inc. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Current |
Accepting new patients |
Locations
2250 E 42nd Ave
#200
Anchorage, AK 99508
Phone (907) 569-3668
3190 E Meridian Park Loop
Ste 205
Wasilla, AK 99654
Phone (907) 373-3338
1700 E Bogard Rd
Ste B203
Wasilla, AK 99654
Phone (907) 376-4325
Interoperability endpoints
- https://api.platform.athenahealth.com/21331/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8213 | MN | |
| Physical Therapist | 225100000X | 2689 | AK | Yes |
Addresses
Primary practice location
1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6563
Mailing address
1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6563
Phone (907) 376-4325
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.