Jaclyn Roe Scanlan

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

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

Phone

(907) 373-9462

NPI assigned

Aug 6, 2021

Last updated

Aug 6, 2021By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DACAAA

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.

• Medical Group of Alaska

  dba Algone Premier Pain Specialists of Alaska

  • General Practice Physician
  • Wasilla, AK
  • NPI 1750730594
  Medicare reassignment NPD
• Wasilla Physical Therapy Inc.

  • Physical Therapist
  • Wasilla, AK
  • NPI 1023364205
  Medicare reassignment NPD
• Medical Group of Alaska

  dba Algone International Pain Clinic

  • Pain Medicine Physician
  • Wasilla, AK
  • NPI 1174882971
  NPD
• Medical Group of Alaska

  dba Empower Physical Therapy

  • Physical Therapy Clinic/Center
  • Wasilla, AK
  • NPI 1891208351
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Mt. Edgecumbe Medical Center

  • Critical Access Hospital
  • Sitka, AK
  • NPI 1720062524
  NPD (past)

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1902570542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 QUINCY DR SW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566019818",
            "telephone_number": "182-791-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP STE 206",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-373-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "JACLYN",
        "middle_name": "ROE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantel Marie Savage
• Marianna C Savercool
• Theodore Jay Savercool Jr.
• Jessica W Sawyer, CDM, CPM
• Sherry L Saxon
• Rochelle Scarcello-Upham, MASSAGE THERAPIST
• Maryssa Scarcello, LMT
• Victoria Jean Schachle, LMT
• Scott William Schafer, PA-C, MPAS
• Matthew Aaron Scheib, MSPT

• 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 Aug 6, 2021; 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.