Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vacca Physiatry LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1528456696

Vacca Physiatry LLC is a Physical Medicine & Rehabilitation Physician in Eagle River, Alaska. Licensed in Alaska and Minnesota. Registered with an NPI since 2014.

Licensed in
AK, MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10928 Eagle River Rd Ste 104
Eagle River, AK 99577-8078
Phone: (907) 622-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 103783 (AK)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 51455 (MN)

Record details

NPI number1528456696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Vacca — Owner/Sole Provider · (907) 622-1300
NPI enumeratedDecember 24, 2014
Last updated in NPPESJune 7, 2016
Mailing address10928 Eagle River Rd, Suite 104, Eagle River, AK 99577-8078

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