Individual provider Active NPI

Casey Buckland, DPT

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1285010355
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
103586 Issued in AK
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

Updated by the provider on Oct 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CE230674OtherBOARD-CERTIFIED CLINICAL ELECTROPHYSIOLOGIC SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Rise Diagnostics LLCGroup PAC ID 3072891779, 2 clinicians

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

LicenseStateTypeSpecialty
103586AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Diagnostics, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Solstice Medicine & Wellness, LLC PastSince Sep 1, 2023 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.

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.

Verify at the official NPI Registry.