DR. JADE WALTER EKLE (D.P.T.) – Physical Therapist, NPI 1467499855

DR. JADE WALTER EKLE (D.P.T.) is a healthcare provider. based in Wasilla, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T.. They hold a License No. 2028 (AK). The NPI Number for DR. JADE WALTER EKLE (D.P.T.) is 1467499855

Main info

Male
21 Years Of Experience
Name
DR. JADE WALTER EKLE (D.P.T.)
NPI
1467499855
Phone
(907) 250-7295
Address
645 N JESSICA BROOKE CIR STE C
Enumeration Date
2 June 2006
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9076310600
Graduation Year
2005 (21 years ago)
PAC ID
0648283010
Professional Enrollment ID
I20250220001349
Address ID
AK996547333WA645XXCIRX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

458 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for DR. JADE WALTER EKLE (D.P.T.)

  • 645 N JESSICA BROOKE CIR STE C

    WASILLA, AK 996547333

    Phone: (907) 250-7295

    Fax: (907) 631-3032

    Type: Mailing

  • 11421, Old Glenn Highway, Eagle River, Anchorage, Alaska, 99577, United States

    EAGLE RIVER, AK 995777729

    Phone: (907) 694-2273

    Fax: (907) 694-2289

    Type: Location

  • Dannys Avenue, Wasilla, Matanuska-Susitna Borough, Alaska, 99654, United States

    WASILLA, AK 996548326

    Phone: (907) 250-7295

    Fax: (907) 631-3032

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250220001349IPhysical Therapist In Private PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99654)

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Reviews

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Frequently asked questions

What number should I use to identify DR. JADE WALTER EKLE (D.P.T.) for billing?
Administrative and clinical systems typically use NPI 1467499855 for DR. JADE WALTER EKLE (D.P.T.).
Is DR. JADE WALTER EKLE (D.P.T.)'s NPI status active today?
Active status means DR. JADE WALTER EKLE (D.P.T.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. JADE WALTER EKLE (D.P.T.)'s specialty?
The extract shows Physical Therapist for DR. JADE WALTER EKLE (D.P.T.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JADE WALTER EKLE (D.P.T.)?
DR. JADE WALTER EKLE (D.P.T.) shows a connection to Wasilla, Alaska in registry-derived data.
Why is information missing for DR. JADE WALTER EKLE (D.P.T.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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