Individual provider Active NPI

Kailey Marie Matzen, DPT

  • Physical Therapist
  • Palmer, AK
National Provider Identifier
1104433648
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
183270 Issued in AK
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

Updated by the provider on May 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113003460 AK Practitioner - Physical Therapist in Private Practice 4981024361 Reassigns benefits to 1 organization

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
Health Lab LLCGroup PAC ID 2961940705, 6 clinicians

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

LicenseStateTypeSpecialty
4127NEMDMental Health Counselor
183270AKMDPhysical Therapist
28420MDMDPhysical Therapist
CP003564TNEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Lab LLC Physical Therapist CurrentSince May 30, 2024 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.

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.

Verify at the official NPI Registry.