Active NPI
Michael Nienow, DPT, PT
- Physical Therapist
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 220774
- Practice address
- 3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417 - Phone
- (907) 373-9462
- Fax
- (907) 373-9464
- NPI assigned
- Dec 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15657-24 | WI | |
| Physical Therapist | 225100000X | 220774 | AK | Primary |
Addresses
Primary practice location
3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417
Mailing address
11498 Cagle Rd
Arbor Vitae, WI 54568-9233
Phone (715) 892-6677
Other practice location 1
1970 Navajo St
Rhinelander, WI 54501-8890
Phone (715) 420-0728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3765 E Lupine Dr
Suite E
Wasilla, AK 99654
Phone (907) 373-9462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220774 | AK | MD | Physical Therapist |
| 15657-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Current | Accepting new patients |
Locations
7985 E 16th Ave
Ste 100
Anchorage, AK 99504
Phone (907) 332-0021
3765 E Blue Lupine Dr
Ste E
Wasilla, AK 99654
Phone (907) 373-9462
2964 Ginnala Dr
Loveland, CO 80538
Phone (970) 663-6998
8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622
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.
-
- Physical Therapist
- Wasilla, AK
- NPI 1023809928
-
- Physical Therapy Clinic/Center
- Westminster, CO
- NPI 1346896081
-
- Physical Therapy Clinic/Center
- Loveland, CO
- NPI 1750009536
-
- Physical Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1942279567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1730848433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11498 CAGLE RD",
"city": "ARBOR VITAE",
"state": "WI",
"postal_code": "545689233",
"telephone_number": "715-892-6677"
},
{
"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": "1970 Navajo St",
"address_purpose": "LOCATION",
"city": "Rhinelander",
"state": "WI",
"postal_code": "545018890",
"country_code": "US",
"telephone_number": "715-420-0728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIENOW",
"first_name": "MICHAEL",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-10",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15657-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "220774",
"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 Jan 7, 2026; 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.