Organization Active NPI

Little Loon Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Wasilla, AK
National Provider Identifier
1215697040
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LITTLE LOON PEDIATRIC THERAPY LLC
Practice address
501 N Knik St
Wasilla, AK 99654-7050
Phone
(907) 215-3105
Fax
(907) 215-3385
NPI assigned
Dec 20, 2021
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Ashley Bergerson
Title
Member/Coo
Phone
(907) 290-8757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

501 N Knik St
Wasilla, AK 99654-7050

Mailing address

PO Box 874153
Wasilla, AK 99687
Phone (907) 290-8757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1215697040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874153",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99687",
            "telephone_number": "907-290-8757",
            "fax_number": "907-215-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N KNIK ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547050",
            "telephone_number": "907-215-3105",
            "fax_number": "907-215-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE LOON PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "BERGERSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MEMBER/COO",
        "authorized_official_telephone_number": "907-290-8757"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "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 Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.