Active NPI
Casey Buckland, DPT
- Physical Therapist
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 103586
- Practice address
- 5790 W Appalachian Ave
Wasilla, AK 99623-0333 - Phone
- (503) 970-0468
- NPI assigned
- Jul 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | |||
| Physical Therapist | 225100000X | 103586 | AK | Primary |
Addresses
Primary practice location
5790 W Appalachian Ave
Wasilla, AK 99623-0333
Mailing address
23756 Hilltop Dr
Chugiak, AK 99567-6267
Phone (503) 970-0468
Other practice location 1
1981 E Palmer Wasilla Hwy Ste 230
Wasilla, AK 99654-7289
Phone (907) 312-7044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE230674 | Other | BOARD-CERTIFIED CLINICAL ELECTROPHYSIOLOGIC SPECIALIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151112002598 | AK | Practitioner - Physical Therapist in Private Practice | 1850601337 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1981 E Palmer Wasilla Hwy
Suite 230
Wasilla, AK 99654-7289
Phone (907) 312-7044
475 Riverstone Way
Suite 2
Fairbanks, AK 99709-2971
Phone (907) 312-7044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103586 | AK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Diagnostics, LLC | Physical Therapist | Current | Accepting new patients |
| Solstice Medicine & Wellness, LLC | Past | Accepting new patients |
Locations
500 E Benson Blvd
Ste 103
Anchorage, AK 99503
Phone (907) 250-9441
475 Riverstone Way
Ste 2
Fairbanks, AK 99709
Phone (907) 312-7044
1981 E Palmer Wasilla Hwy
Ste 230
Wasilla, AK 99654
Phone (855) 205-5809
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Electrophysiology Physical Therapist
- Wasilla, AK
- NPI 1821445636
AK, Physical Therapist
-
- Medical Specialty Clinic/Center
- Fairbanks, AK
- NPI 1710347349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1285010355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23756 HILLTOP DR",
"city": "CHUGIAK",
"state": "AK",
"postal_code": "995676267",
"telephone_number": "503-970-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5790 W APPALACHIAN AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996230333",
"telephone_number": "503-970-0468"
}
],
"practiceLocations": [
{
"address_1": "1981 E Palmer Wasilla Hwy Ste 230",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996547289",
"country_code": "US",
"telephone_number": "907-312-7044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKLAND",
"first_name": "CASEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-30",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "103586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD-CERTIFIED CLINICAL ELECTROPHYSIOLOGIC SPECIALIST",
"identifier": "CE230674",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.