Keith A Poorbaugh (NPI# 1003971037, PAC ID# 1850352469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1003971037 |
| PAC ID by PECOS | 1850352469 |
| Professional Enrollment ID | I20041026000587 |
| Full Name | Keith A Poorbaugh |
| Organization Legal Name | NORTHERN EDGE PHYSICAL THERAPY LLC |
| Address |
984 N Meridian Pl Suite A Wasilla AK 99654-7215 |
| Phone Number | 9076314029 |
| Gender | M |
| Credential | PT |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1355587742 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 | 9076314029 | NORTHERN EDGE PHYSICAL THERAPY LLC |
| Organization Legal Name | NORTHERN EDGE PHYSICAL THERAPY LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Sliwa | Physical Therapy | Northern Edge Physical Therapy LLC | 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 |
| Michelle Yvonne Warner | Occupational Therapy | Northern Edge Physical Therapy LLC | 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 |
| Katelyn Carpenter | Physical Therapy | Northern Edge Physical Therapy LLC | 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 |
| Garrick D Herr | Physical Therapy | Northern Edge Physical Therapy LLC | 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 |
| Street Address |
984 N MERIDIAN PL SUITE A |
| City | WASILLA |
| State | AK |
| Zip | 99654-7215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Sliwa | Physical Therapy | Northern Edge Physical Therapy LLC | 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 |
| Michelle Yvonne Warner | Occupational Therapy | Northern Edge Physical Therapy LLC | 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 |
| Katelyn Carpenter | Physical Therapy | Northern Edge Physical Therapy LLC | 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 |
| Garrick D Herr | Physical Therapy | Northern Edge Physical Therapy LLC | 984 N Meridian Pl, Suite A, Wasilla, AK 99654-7215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blaine G Upham | Chiropractic | 5461 E Mayflower Lane, Suite 6, Wasilla, AK 99654 | |
| Jeffrey A Lepage | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Trisha M Magee | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Marlys F Bryan | Physical Therapy | Health Quest Therapy Inc | Mile 4, Wasilla, AK 99654 |
| Josh T Williams | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Amy L Stielstra | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Corissa J Abel | Physical Therapy | First Choice Physical Therapy Inc | 6701 W Blondell St, Wasilla, AK 99654 |
| Lisa M Bouyea-francies | Nurse Practitioner | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Robin Hughes | Clinical Social Worker | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Mary A Eckart | Physician Assistant | Mat-su Health Services Inc. | 1363 W Spruce Ave, Wasilla, AK 99654-5327 |
| Find all physicians in zip 99654 | |||
| City | WASILLA |
| Zip Code | 99654 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WASILLA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.