Active NPI
Little Loon Pediatric Therapy LLC
- Speech-Language Pathologist
- Wasilla, AK
National Provider Identifier
1215697040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Wasilla, AK
- NPI 1699130898
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.