NPIMap

Organization Active NPI

Empower Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Wasilla, AK
National Provider Identifier
1508528472
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EMPOWER PHYSICAL THERAPY, LLC
Practice address
3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417
Phone
(907) 373-9462
Fax
(907) 373-9464
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Jacob Howard Pollard, DPTNPI 1386191781
Title
Partner/DPT
Phone
(208) 220-6886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417

Mailing address

3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417
Phone (907) 373-9462

Other practice location 1

7985 E 16th Ave Ste 100
Anchorage, AK 99504-2896
Phone (907) 332-0021

Other practice location 2

902 E Palmer Wasilla Hwy
Palmer, AK 99645-6573
Phone (907) 795-5957

Other names 1

  • Empower Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220000280 AK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830580240 Receives reassigned benefits from 31 practitioners
Practice locations: Anchorage, AK; Palmer, AK; Wasilla, AK

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1508528472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 E BLUE LUPINE DR STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548417",
            "telephone_number": "907-373-9462",
            "fax_number": "907-373-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 E BLUE LUPINE DR STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548417",
            "telephone_number": "907-373-9462",
            "fax_number": "907-373-9464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7985 E 16th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995042896",
            "country_code": "US",
            "telephone_number": "907-332-0021",
            "fax_number": "907-373-9464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 E Palmer Wasilla Hwy",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996456573",
            "country_code": "US",
            "telephone_number": "907-795-5957",
            "fax_number": "907-373-9462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PARTNER/DPT",
        "authorized_official_telephone_number": "208-220-6886",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empower Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.