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

Keanna Gross

Individual provider Physical Therapist · NPI 1679960132

Keanna Gross is a Physical Therapist in Private Practice in Wasilla, Alaska. Qualified in 2020, 6 years ago. Practices with Progressive Physical Therapy, a 21-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
6
Licensed in
AK
In the registry since
2015
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Practice location Address checks out

3765 E Blue Lupine Dr Ste E
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 221560 (AK)

Record details

NPI number1679960132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2015
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Progressive Physical Therapy — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wasilla