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

Jacob Peck

Individual provider Physical Therapy Assistant · NPI 1659120483

Jacob Peck is a Physical Therapy Assistant in Wasilla, Alaska. Works from 3 locations. Licensed in Alaska, Colorado and Pennsylvania.

Licensed in
AK, CO, PA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

6701 W Blondell Dr
Wasilla, AK 99623
Phone: (907) 357-9755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3455 Rewak Dr Ste 106, Fairbanks, AK 99709-5024 — (907) 457-5322
  • 554 Hamlin Hwy Unit 2, Lake Ariel, PA 18436-9319 — (570) 218-5405

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE013514 (PA)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA.0015525 (CO)
Physical Therapy Assistant Taxonomy 225200000X · Licence 231916 (AK)

Record details

NPI number1659120483
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 7, 2025
Mailing address5649 Meshoppen Creek Rd, Montrose, PA 18801-7658

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