Individual provider Active NPI

Sarah Rea Kowalczk, PT, DPT

  • Orthopedic Physical Therapist
  • Wasilla, AK
National Provider Identifier
1215581707
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
144829 Issued in AK
Practice address
1700 E Bogard Rd Ste B203
Wasilla, AK 99654-6570
Phone
(907) 921-5088
Fax
(907) 921-5089
NPI assigned
Aug 1, 2019
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 144829 AK Primary

Addresses

Primary practice location

1700 E Bogard Rd Ste B203
Wasilla, AK 99654-6570

Mailing address

1700 E Bogard Rd Ste B203
Wasilla, AK 99654-6570
Phone (907) 921-5088

Other identifiers 1

IdentifierTypeStateIssuer
144829MedicaidAK

Other names 1

  • Dr. Sarah Rea Marchisio Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220705002045 AK Practitioner - Physical Therapist in Private Practice 7911387246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

6701 W Blondell Dr
Wasilla, AK 99623-0820
Phone (907) 357-9755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
144829AKMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince May 1, 2022 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince May 1, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Orthopedic Current Accepting new patients

Locations

1700 E Bogard Rd
Ste B203
Wasilla, AK 99654
Phone (907) 376-4325

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.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1215581707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD STE B203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546570",
            "telephone_number": "907-921-5088",
            "fax_number": "907-921-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD STE B203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546570",
            "telephone_number": "907-921-5088",
            "fax_number": "907-921-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZK",
        "first_name": "SARAH",
        "middle_name": "REA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AK",
            "license": "144829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144829",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MARCHISIO",
            "middle_name": "REA",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 14, 2025; 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.