Vacca Physiatry LLC
Vacca Physiatry LLC is a healthcare organization registered as Medical Specialty Clinic/Center in Eagle River, AK, holding Type 2 (organization) NPI 1528456696 since 2014. The authorized official on file is Brian Vacca, Owner/Sole Provider.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528456696 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vacca Physiatry LLC |
| Practice address | 10928 EAGLE RIVER RD, SUITE 104, Eagle River, AK, 99577 |
| Phone | 9076221300 |
| Enumeration date | 2014-12-24 |
| Last updated in NPPES | 2016-06-07 |
Authorized official
| Name | Brian Vacca |
|---|---|
| Title | Owner/Sole Provider |
| Phone | 9076221300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | 51455 | MN |
| 261QM2500X | Medical Specialty Clinic/Center | Primary | 103783 | AK |
Copy-ready billing details
Provider: Vacca Physiatry LLC NPI: 1528456696 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 10928 EAGLE RIVER RD, SUITE 104, Eagle River, AK, 99577
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669463923 | Hal Hagge | Individual | Corneal and Contact Management Optometrist | Eagle River, AK |
| 1952325193 | Alfred Land | Individual | Dentist | Eagle River, AK |
| 1518071554 | Vivien Tincher | Individual | Professional Counselor | Eagle River, AK |
| 1417041526 | Brian Vacca | Individual | Physical Medicine & Rehabilitation Physician | Eagle River, AK |
| 1912048679 | Kenneth Helm | Individual | Prosthodontics | Eagle River, AK |
| 1831347889 | Alfred Land | Individual | General Practice Dentistry | Eagle River, AK |
| 1407171069 | Northern Anesthesia and Pain Medicine, LLC | Organization | Anesthesiology Physician | Eagle River, AK |
| 1679836506 | Mary Smith | Individual | Family Nurse Practitioner | Eagle River, AK |
Verify this record
Cross-check NPI 1528456696 against the authoritative CMS record: view Vacca Physiatry LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Vacca Physiatry LLC?
Who is the authorized official for Vacca Physiatry LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-07.