Allen Ma, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

246688 Issued in AK

Practice address

15971 Sterling Hwy
Ste a
Ninilchik, AK 99639

Phone

(907) 420-0836

Fax

(907) 420-0837

NPI assigned

Dec 5, 2025

Last updated

Dec 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution Sport and Spine Therapy LLCGroup PAC ID 6507146412, 19 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revolution Sport & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Soldotna, AK
  • NPI 1598215170
  Medicare reassignment Care Compare group NPD
• Borealis Chiropractic Inc

  • Chiropractor
  • Soldotna, AK
  • NPI 1558800607
  NPD

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1699638734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 KATRINA BLVD, NINILCHIK, AK 99639",
            "address_2": "UNIT 748",
            "city": "NINILCHIK",
            "state": "AK",
            "postal_code": "99639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15971 STERLING HWY",
            "address_2": "STE A",
            "city": "NINILCHIK",
            "state": "AK",
            "postal_code": "99639",
            "telephone_number": "907-420-0836",
            "fax_number": "907-420-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35165 KBeach Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "99669",
            "country_code": "US",
            "telephone_number": "907-420-0836",
            "fax_number": "907-420-0837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35249 Kenai Spur Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697673",
            "country_code": "US",
            "telephone_number": "907-420-0836",
            "fax_number": "907-420-0837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43783 Kenai Spur Hwy",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996119708",
            "country_code": "US",
            "telephone_number": "907-420-0836",
            "fax_number": "907-420-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "ALLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "246688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith Annette Hubbard
• Heather Marratt
• Ninilchik Emergency Services
• Ninilchik Family Dentistry P.C.
• Ninilchik Senior Citizens, Inc.
• Ninilchik Village (NTC Community Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.