Front Line Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FRONT LINE PHYSICAL THERAPY LLC

Practice address

5790 W Appalachian Ave
Wasilla, AK 99623-0333

Phone

(503) 970-0468

NPI assigned

Jan 9, 2021

Organization subpart

No

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

Authorized official

Name

Casey Buckland

Title

Owner Ceo

Phone

(503) 970-0468

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1891383378",
    "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "FRONT LINE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "BUCKLAND",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "503-970-0468"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.