Individual provider Active NPI

Abigail Peters

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1487481727
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
213419 Issued in AK
Practice address
3831 E Blue Lupine Dr Ste B
Wasilla, AK 99654-8461
Phone
(907) 215-4846
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 213419 AK Primary

Addresses

Primary practice location

3831 E Blue Lupine Dr Ste B
Wasilla, AK 99654-8461

Mailing address

PO Box 4682
Logan, UT 84323-4682
Phone (435) 514-5646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213419AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ancora Home Health & Hospice, LLC CurrentSince Sep 23, 2024 Accepting new patients
Ancora Home Health & Hospice, LLC CurrentSince Apr 13, 2025 Accepting new patients

Locations

3831 E Blue Lupine Dr
#B
Wasilla, AK 99654
Phone (907) 215-4846

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1487481727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4682",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843234682",
            "telephone_number": "435-514-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E BLUE LUPINE DR STE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548461",
            "telephone_number": "907-215-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "213419",
            "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 Sep 19, 2024; 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.