Active NPI
Audie Padrones, PT, MHS
- Physical Therapist
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 218371
- Practice address
- 3190 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7422 - Phone
- (907) 373-9460
- NPI assigned
- May 4, 2006
- Last updated
- Dec 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01506 | MO | |
| Physical Therapist | 225100000X | 218371 | AK | Primary |
Addresses
Primary practice location
3190 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7422
Mailing address
3190 E Meridian Park Loop Ste 207
Wasilla, AK 99654-7422
Phone (907) 373-9460
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 483897104 | Medicaid | MO | |
| 1873945 | Other | MO | GROUP # FOR FIRST HEALTH |
| 410490 | Other | MO | GROUP # FOR HEALTHLINK |
| 120210 | Other | MO | GROUP # FOR BC/BS |
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
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3190 E Meridian Park Loop
Suite 207
Wasilla, AK 99654-7422
Phone (907) 373-9460
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 55.96
- Improvement activities
- 40
- Cost
- 79.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218371 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of Alaska | Current | Accepting new patients | |
| Medical Group of Alaska | Current | Accepting new patients | |
| Medical Group of Alaska | Past | Accepting new patients |
Locations
4361 Boniface Pkwy
Ste 3
Anchorage, AK 99504
Phone (907) 333-2133
3190 E Meridian Park Loop
Ste 206
Wasilla, AK 99654
Phone (907) 373-2544
3190 E Meridian Park Loop
Ste 207
Wasilla, AK 99654
Phone (907) 357-7710
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DACAAA
Organizations & group practices 3
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.
-
dba Algone Premier Pain Specialists of Alaska
- General Practice Physician
- Wasilla, AK
- NPI 1750730594
-
dba Empower Physical Therapy
- Physical Therapy Clinic/Center
- Wasilla, AK
- NPI 1891208351
-
dba Algone International Pain Clinic
- Pain Medicine Physician
- Wasilla, AK
- NPI 1174882971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1205884335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 E MERIDIAN PARK LOOP STE 207",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547422",
"telephone_number": "907-373-9460",
"fax_number": "907-373-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 E MERIDIAN PARK LOOP STE 207",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547422",
"telephone_number": "907-373-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRONES",
"first_name": "AUDIE",
"name_prefix": "Mr.",
"credential": "PT, MHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "01506",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "218371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "483897104",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP # FOR FIRST HEALTH",
"identifier": "1873945",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP # FOR HEALTHLINK",
"identifier": "410490",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP # FOR BC/BS",
"identifier": "120210",
"state": "MO"
}
],
"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 Dec 17, 2024; 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.