Individual provider Active NPI

Keanna Gross

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1679960132
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
221560 Issued in AK
Practice address
3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417
Phone
(907) 373-9462
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 221560 AK Primary

Addresses

Primary practice location

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

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719001930 AK Practitioner - Physical Therapist in Private Practice 0345786919 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physical TherapyGroup PAC ID 2668861931, 21 clinicians
Empower Physical Therapy LLCGroup PAC ID 9830580240, 25 clinicians
Empower Physical Therapy Limited PartnershipGroup PAC ID 8224537535, 38 clinicians

Practice addresses (Care Compare)

2221 E Northern Lights Blvd
Suite 108
Anchorage, AK 99508-4140
Phone (907) 748-0022

3765 E Blue Lupine Dr
Suite E
Wasilla, AK 99654-8417
Phone (907) 854-8075

3765 E Lupine Dr
Suite E
Wasilla, AK 99654
Phone (907) 373-9462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Empower Physical Therapy Limited Partnership Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Empower Physical Therapy, LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Enlighten LLC CurrentSince Nov 20, 2025 Accepting new patients

Locations

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

2221 E Northern Lights Blvd
Ste 108
Anchorage, AK 99508
Phone (907) 277-5337

718 K St
Ste D
Anchorage, AK 99501
Phone (907) 748-0022

1261 S Seward Meridian Pkwy
Ste F
Wasilla, AK 99654
Phone (907) 357-6100

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

Organizations & group practices 4

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1679960132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "221560",
            "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 Jul 8, 2025; 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.