Individual provider Active NPI

Kristin Elizabeth McCasland, DPT

  • Physical Therapist
  • Fairbanks, AK
National Provider Identifier
1437931177
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
209205 Issued in AK
Practice address
544 4TH Ave Ste 102
Fairbanks, AK 99701-4714
Phone
(907) 456-5990
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 209205 AK Primary

Addresses

Primary practice location

544 4TH Ave Ste 102
Fairbanks, AK 99701-4714

Mailing address

643 9TH Ave
Fairbanks, AK 99701-4506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102003703 AK Practitioner - Physical Therapist in Private Practice 1456708056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Physical Therapy LimitedGroup PAC ID 7719979400, 3 clinicians

Practice addresses (Care Compare)

544 4TH Ave
Suite 102
Fairbanks, AK 99701-4714
Phone (907) 456-5990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Physical Therapy, Limited CurrentSince Apr 18, 2025 Accepting new patients

Locations

544 4th Ave
#102
Fairbanks, AK 99701
Phone (907) 456-5990

Organizations & group practices 1

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1437931177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 9TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 4TH AVE STE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014714",
            "telephone_number": "907-456-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASLAND",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "209205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.