Nathan Kowalczk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

144371 Issued in AK

Practice address

645 N Jessica Brooke Cir Ste C
Wasilla, AK 99654-7333

Phone

(907) 631-0600

Fax

(907) 631-3032

NPI assigned

Jul 16, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

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
• Jaded Body Wellness & Spine Institute, LLC

  • Physical Therapist
  • Wasilla, AK
  • NPI 1306108543
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1962054296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N JESSICA BROOKE CIR STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547333",
            "telephone_number": "907-631-0600",
            "fax_number": "907-631-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N JESSICA BROOKE CIR STE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547333",
            "telephone_number": "907-631-0600",
            "fax_number": "907-631-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZK",
        "first_name": "NATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "144371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@jadedak.com",
            "affiliation": "N",
            "address_1": "645 N Jessica Brooke Cir Ste C",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Erin Kosht, MS, CF-SLP
• Jenna Koskey, OD
• Heidi Ann Koslo, DNP, APRN, FNP-BC
• Forrest Blake Kostek
• Jacqueline Kotter, BSW
• Sarah Rea Kowalczk, PT, DPT
• Jamie Lee Kraft
• Teah Jeannette Kramer
• Kairstyn Krasnesky
• Ferneda Kratochvil

• 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 Jun 18, 2026; 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.