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

Etta Robertson

Individual provider Physical Therapist · NPI 1366000150

Etta Robertson is a Physical Therapist in Private Practice in Eagle River, Alaska. Qualified in 2017, 9 years ago. Practices with Northern Edge Physical Therapy Limited Partnership, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2019
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Practice location Address checks out

12812 Old Glenn Hwy Ste A3
Eagle River, AK 99577-7003
Phone: (907) 317-5895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1366000150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 5, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northern Edge Physical Therapy Limited Partnership — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eagle River