Spine and Sports Injury Center, LLC
NPI 1053690677 · Family Medicine Physician · Wasilla, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spine and Sports Injury Center, LLC is a Family Medicine Physician organization in Wasilla, AK (NPI 1053690677).
Provider details
- NPI number
- 1053690677
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristofer Larson, Managing Member(907) 376-2225
- License
- 435 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Complete Family Care
Registry dates
- Enumerated
- 2011-08-12
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Frequently asked questions
- What is Spine and Sports Injury Center, LLC's NPI number?
- Spine and Sports Injury Center, LLC's National Provider Identifier (NPI) is 1053690677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine and Sports Injury Center, LLC?
- Spine and Sports Injury Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Spine and Sports Injury Center, LLC located?
- Spine and Sports Injury Center, LLC's practice location on file with NPPES is 1001 E Bogard Rd, Wasilla, AK 99654-7114.
- What is Spine and Sports Injury Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Spine and Sports Injury Center, LLC is (907) 376-2225.
- Does Spine and Sports Injury Center, LLC accept Medicare?
- Spine and Sports Injury Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spine and Sports Injury Center, LLC?
- The authorized official listed on Spine and Sports Injury Center, LLC's NPPES record is Kristofer Larson, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine and Sports Injury Center, LLC's NPI active?
- Yes — Spine and Sports Injury Center, LLC's NPI (1053690677) is active in the NPPES registry as of the last update on 2025-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.