Hayden Matthew Niekamp, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

179258 Issued in AK

Practice address

1700 E Bogard Rd Ste B203
Wasilla, AK 99654-6570

Phone

(907) 921-5088

NPI assigned

Jul 23, 2021

Sex

Male

Sole proprietor

No

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Eagle River, AK
  • NPI 1699743484

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Kenai, AK
  • NPI 1366083941
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Jaded Body Wellness & Spine Institute, LLC

  • Physical Therapist
  • Wasilla, AK
  • NPI 1306108543
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1851964126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15071 E OUTER SPRINGER LOOP",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459048",
            "telephone_number": "907-631-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD STE B203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546570",
            "telephone_number": "907-921-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEKAMP",
        "first_name": "HAYDEN",
        "middle_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "179258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enos Cheruiyot Ngetich, RN, NP-C
• Deaundra Nicholai
• Marla Nicholai
• Nicholas Boyce DMD LLC
• Vernise Nicholas
• Sarah Elizabeth Nielsen, APRN, IFMCP, DNP
• Sarah J Nieman
• Michael Nienow, DPT, PT
• Ariel Niles, LMT
• Eric A. Nimmo, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.