Back in Action Physical Therapy, LLC
NPI 1356621395ActiveOrganization· Physical Therapist· Wasilla, AK
Physical Therapist in Wasilla, Alaska, registered in NPPES in August 2011, part of Spine and Sports Injury Center, LLC. The authorized official on file is Kristofer D. Larson, D.C., Organizer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356621395 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Spine and Sports Injury Center, LLC |
| NPI issued | Aug 23, 2011 |
| Last updated in NPPES | Dec 29, 2025 |
| Certified by provider | Dec 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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