Keith Poorbaugh, PT, SCD, OCS, FAAOMP
NPI 1003971037ActiveIndividual· Physical Therapist· Wasilla, AK
Physical Therapist (PT, SCD, OCS, FAAOMP) in Wasilla, Alaska, trained at Mayo Medical School (class of 1997). Medicare paid $54,907 for services to 77 patients in 2024.
Overview
| NPI | 1003971037 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, SCD, OCS, FAAOMP |
| Sole proprietor | No |
| NPI issued | Dec 27, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Apr 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1581 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
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Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 1,930 across 7 procedure codes |
| Paid by Medicare | $54,907 |
Education and affiliations
| Medical school | Mayo Medical School |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Northern Edge Physical Therapy Limited PartnershipWasilla, AK · 5 clinicians
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All 126 physical therapists in Wasilla · All physical therapists in Alaska