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

Dusty Hibdon

Individual provider Physical Therapist · NPI 1114625217

Dusty Hibdon is a Physical Therapist in Private Practice in Wasilla, Alaska. Qualified in 2022, 4 years ago. Practices with Health Lab LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
4
Licensed in
AK
In the registry since
2023
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Practice location Address checks out

3765 E Blue Lupine Dr
Wasilla, AK 99654-8417
Phone: (907) 373-9462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 204830 (AK)

Record details

NPI number1114625217
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address745 Woodridge Ct, Grand Junction, CO 81505-6800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Health Lab Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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