Individual provider Active NPI

Caroline Jeanne Charniak, DPT

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1790572394
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3765 E Blue Lupine Dr Ste E
Wasilla, AK 99654-8417
Phone
(907) 373-9462
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 Primary

Addresses

Primary practice location

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

Mailing address

1324 Alex CT
Neenah, WI 54956-6300
Phone (920) 636-3765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725003722 AK Practitioner - Physical Therapist in Private Practice 5799292694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy LLCGroup PAC ID 9830580240, 25 clinicians
Empower Physical Therapy Limited PartnershipGroup PAC ID 8224537535, 38 clinicians

Practice addresses (Care Compare)

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
Empower Physical Therapy Limited Partnership Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Empower Physical Therapy, LLC Physical Therapist CurrentSince Jun 2, 2025 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

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1790572394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 ALEX CT",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549566300",
            "telephone_number": "920-636-3765"
        },
        {
            "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": "CHARNIAK",
        "first_name": "CAROLINE",
        "middle_name": "JEANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 24, 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.