DR. JACOB BARRETT ARVIDSON (DPT) – Physical Therapist, NPI 1689620643

DR. JACOB BARRETT ARVIDSON (DPT) is a healthcare provider. based in Wasilla, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1704 (AK). The NPI Number for DR. JACOB BARRETT ARVIDSON (DPT) is 1689620643

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB BARRETT ARVIDSON (DPT)
NPI
1689620643
Phone
(907) 357-2578
Address
401 E BOGARD RD
Enumeration Date
25 May 2006
Last Update Date
17 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073572578
Graduation Year
2005 (21 years ago)
PAC ID
1052314713
Group Practice PAC ID
0042109936
Professional Enrollment ID
I20060818000066
Address ID
AK996547108WA401XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

458 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

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Provider Addresses for DR. JACOB BARRETT ARVIDSON (DPT)

  • 401, East Bogard Road, Wasilla, Matanuska-Susitna, Alaska, 99654, United States

    WASILLA, AK 996547108

    Phone: (907) 357-2578

    Fax: (907) 357-2529

    Mailing address matches the actual address.

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: 2006-08-18

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
I20060818000066IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes76331$0
97140Therapy procedure using manual technique, each 15 minutes64330$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care8411$0
97161Evaluation for physical therapy, typically 20 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Provider's Procedures

DR. JACOB BARRETT ARVIDSON (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYAK97001Physical therapy evaluation2120
PHYSICAL THERAPYAK97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes46926

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042109936View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Qualified Speech Language PathologistAK
Physical Therapist In Private PracticeAK
Qualified Speech Language PathologistAK
Occupational Therapist In Private PracticeAK
-AK
Physical Therapist In Private PracticeAK
Occupational Therapist In Private PracticeNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JACOB BARRETT ARVIDSON (DPT)?
DR. JACOB BARRETT ARVIDSON (DPT) — NPI 1689620643 — is the standard way to identify this listing.
Does the file indicate DR. JACOB BARRETT ARVIDSON (DPT) is practicing under active NPI?
Directory data currently reports DR. JACOB BARRETT ARVIDSON (DPT) as active.
What taxonomy line describes DR. JACOB BARRETT ARVIDSON (DPT)?
For research purposes, treat DR. JACOB BARRETT ARVIDSON (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JACOB BARRETT ARVIDSON (DPT) list a practice location?
Patients near Wasilla, Alaska may find DR. JACOB BARRETT ARVIDSON (DPT) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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