Active NPI
Kailey Marie Matzen, DPT
- Physical Therapist
- Palmer, AK
National Provider Identifier
1104433648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 183270
- Practice address
- 1633 S Industrial Way Ste B
Palmer, AK 99645-6713 - Phone
- (907) 206-2603
- Fax
- (844) 955-1845
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4127 | NE | |
| Physical Therapist | 225100000X | 183270 | AK | Primary |
| Physical Therapist | 225100000X | CP003564T | NE | |
| Physical Therapist | 225100000X | 28420 | MD |
Addresses
Primary practice location
1633 S Industrial Way Ste B
Palmer, AK 99645-6713
Mailing address
PO Box 3185
Palmer, AK 99645-3185
Phone (907) 206-2603
Other names 1
- Kailey Marie Rote
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Maryland Medical College, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1633 S Industrial Way
Suite B
Palmer, AK 99645-6713
Phone (907) 206-2603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4127 | NE | MD | Mental Health Counselor |
| 183270 | AK | MD | Physical Therapist |
| 28420 | MD | MD | Physical Therapist |
| CP003564T | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Lab LLC | Physical Therapist | Current | Accepting new patients |
Locations
1633 S Industrial Way
Ste B
Palmer, AK 99645
Phone (907) 206-2603
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Wasilla, AK
- NPI 1568230910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1104433648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3185",
"city": "PALMER",
"state": "AK",
"postal_code": "996453185",
"telephone_number": "907-206-2603",
"fax_number": "844-955-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 S INDUSTRIAL WAY STE B",
"city": "PALMER",
"state": "AK",
"postal_code": "996456713",
"telephone_number": "907-206-2603",
"fax_number": "844-955-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATZEN",
"first_name": "KAILEY",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4127",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "183270",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "CP003564T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAILEY",
"last_name": "ROTE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.