NPIMap

Organization Active NPI

Medical Group of Alaska

Doing business as Empower Physical Therapy

  • Physical Therapy Clinic/Center
  • Wasilla, AK
National Provider Identifier
1891208351
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1061557 Issued in AK
Legal business name
MEDICAL GROUP OF ALASKA
Doing business as
Empower Physical Therapy
Practice address
3190 E Meridian Park Loop Ste 206a
Wasilla, AK 99654-7422
Phone
(907) 373-9462
Fax
(907) 373-9464
NPI assigned
Nov 7, 2017
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL GROUP OF ALASKA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Henry-Musa
Title
Ceo
Phone
(907) 357-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1061557 AK Primary

Addresses

Primary practice location

3190 E Meridian Park Loop Ste 206a
Wasilla, AK 99654-7422

Mailing address

3190 E Meridian Park Loop Ste 206
Wasilla, AK 99654-7422
Phone (907) 357-7710

Other identifiers 1

IdentifierTypeStateIssuer
1061557OtherAKBUSINESS LICENSE

Other names 1

  • Empower Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160907002184 AK Part B Supplier - Clinic/Group Practice 7416243076 Receives reassigned benefits from 26 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wasilla, AK

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Medical Group of Alaska

Locations

320 W 5th Ave
Ste 152
Anchorage, AK 99501
Phone (907) 929-1340

4361 Boniface Pkwy
Ste 3
Anchorage, AK 99504
Phone (907) 333-2133

500 E Benson Blvd
Ste 103B
Anchorage, AK 99503

17025 Snowmobile Ln
Eagle River, AK 99577
Phone (907) 694-9553

561 S Denali St
Ste C
Palmer, AK 99645
Phone (907) 745-8432

3190 E Meridian Park Loop
Ste 206A
Wasilla, AK 99654
Phone (907) 373-9462

3190 E Meridian Park Loop
Ste 206B
Wasilla, AK 99654

3190 E Meridian Park Loop
Ste 207
Wasilla, AK 99654
Phone (907) 357-7710

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1891208351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP STE 206",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-357-7710",
            "fax_number": "907-357-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP STE 206A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-373-9462",
            "fax_number": "907-373-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF ALASKA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL GROUP OF ALASKA, LLC",
        "enumeration_date": "2017-11-07",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "HENRY-MUSA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-357-7710"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AK",
            "license": "1061557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "1061557",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.