Individual provider Active NPI

Tyler Yukio Bachtel, DPT, PT

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1104439157
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP058771T Issued in AK
Practice address
3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417
Phone
(907) 373-9462
Fax
(907) 373-9464
NPI assigned
Aug 28, 2020
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PRD-PT-LIC-31705 MT
Physical Therapist 225100000X CP058771T AK Primary

Addresses

Primary practice location

3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417

Mailing address

3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417
Phone (907) 373-9462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy Limited PartnershipGroup PAC ID 8224537535, 38 clinicians

Practice addresses (Care Compare)

3765 E Lupine Dr
Suite E
Wasilla, AK 99654
Phone (907) 373-9462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 15, 2026 Accepting new patients

Locations

3765 E Blue Lupine Dr
Ste E
Wasilla, AK 99654
Phone (907) 373-9462

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1104439157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 E BLUE LUPINE DR STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548417",
            "telephone_number": "907-373-9462",
            "fax_number": "907-373-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 E BLUE LUPINE DR STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548417",
            "telephone_number": "907-373-9462",
            "fax_number": "907-373-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHTEL",
        "first_name": "TYLER",
        "middle_name": "YUKIO",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PRD-PT-LIC-31705",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "CP058771T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.