Jade Walter Ekle, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2028 Issued in AK

Practice address

645 N Jessica Brooke Cir Ste C
Wasilla, AK 99654-7333

Phone

(907) 631-0600

Fax

(907) 631-3032

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jaded Body Wellness & Spine Institute, LLC

  • Physical Therapist
  • Wasilla, AK
  • NPI 1306108543
  Medicare reassignment NPD
• Abi Medical Group

  • Physical Therapist
  • Aspen, CO
  • NPI 1841238284
  NPD (past)
• Lsi Aspen Back and Body, LLC

  • Specialist
  • Aspen, CO
  • NPI 1457678385
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1467499855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N JESSICA BROOKE CIR STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547333",
            "telephone_number": "907-250-7295",
            "fax_number": "907-631-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N JESSICA BROOKE CIR STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547333",
            "telephone_number": "907-631-0600",
            "fax_number": "907-631-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLE",
        "first_name": "JADE",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Dawn Eichhorn
• Gary Eichhorn
• Joseph Orlia Eichhorn
• Patricia Eichhorn
• Nicholas Christian Eisenmenger, DPT
• Amy Elder, ANP
• Leann Elder
• Laura C Elliott, DPT
• Blanca Estela Ellis
• Darryl G Elrod Jr., MD

• Physical Therapist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.