Active NPI
Tessa Irish
- Occupational Therapist
- Wasilla, AK
National Provider Identifier
1881948917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 197711
- Practice address
- 2752 N Kalmbach Lake Dr
Wasilla, AK 99623-0879 - Phone
- (701) 220-6262
- NPI assigned
- Oct 26, 2012
- Last updated
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 197711 | AK | Primary |
Addresses
Primary practice location
2752 N Kalmbach Lake Dr
Wasilla, AK 99623-0879
Mailing address
2752 N Kalmbach Lake Dr
Wasilla, AK 99623-0879
Phone (701) 220-6262
Other names 1
- Tessa Anvik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6701 W Blondell Dr
Wasilla, AK 99623-0820
Phone (907) 357-9755
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients |
Organizations & group practices 3
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Eagle River, AK
- NPI 1699743484
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Kenai, AK
- NPI 1366083941
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1881948917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2752 N KALMBACH LAKE DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996230879",
"telephone_number": "701-220-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2752 N KALMBACH LAKE DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996230879",
"telephone_number": "701-220-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRISH",
"first_name": "TESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "197711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TESSA",
"last_name": "ANVIK",
"code": "1",
"type": "Former Name"
}
]
}
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 9, 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.