Healthcare Provider Details

I. General information

NPI: 1023809928
Provider Name (Legal Business Name): EMPOWER PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3765 E BLUE LUPINE DR STE E
WASILLA AK
99654-8417
US

IV. Provider business mailing address

3765 E BLUE LUPINE DR STE E
WASILLA AK
99654-8417
US

V. Phone/Fax

Practice location:
  • Phone: 904-373-9462
  • Fax: 907-373-9464
Mailing address:
  • Phone: 904-373-9462
  • Fax: 907-373-9464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: EVP
Credential:
Phone: 713-297-7000