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

Jack L Wade, PT

Individual provider Physical Therapist · NPI 1942368857

Jack L Wade, PT is a Physical Therapist in Private Practice in Wasilla, Alaska. Qualified in 2006, 20 years ago. Practices with Advanced Physical Therapy Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
20
Licensed in
AK
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3035 Palmer Wasilla Hwy Ste 401
Wasilla, AK 99654-7274
Phone: (907) 376-8590
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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 1762 (AK)

Record details

NPI number1942368857
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 9, 2007
Mailing address3035 Palmer Wasilla Hwy Ste 401, Wasilla, AK 99654-7234

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Advanced Physical Therapy Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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