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

Etta Robertson

Individual provider Physical Therapist · NPI 1366000150

Etta Robertson is a Physical Therapist in Private Practice in Eagle River, Alaska. Qualified in 2017, 9 years ago. Practices with Northern Edge Physical Therapy Limited Partnership, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2019
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Practice location Address checks out

12812 Old Glenn Hwy Ste A3
Eagle River, AK 99577-7003
Phone: (907) 317-5895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1366000150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 5, 2019
Mailing address9119 W 50th Ln Unit 3, Arvada, CO 80002-4437

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northern Edge Physical Therapy Limited Partnership — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eagle River