1. Home
  2. Directory
  3. Alaska
  4. Wasilla
  5. Family Medicine
  6. NPI Profile

SPINE AND SPORTS INJURY CENTER, LLC
NPI 1053690677
Family Medicine in Wasilla, AK

Active since August 12, 2011CLIA 02D2238338 · Microscopy
1001 E BOGARD RD, WASILLA, AK 99654(907) 376-2225(907) 376-9225 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2025, Dec 21, 2020, Dec 17, 2020 (3 updates tracked since 2020).

About Spine And Sports Injury Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE AND SPORTS INJURY CENTER, LLC (NPI 1053690677), doing business as Complete Family Care, is a healthcare organization registered as a family medicine in Wasilla, Alaska and active in the NPI registry since August 2011. The organization holds a CLIA Microscopy certificate valid through October 1, 2027 and lists Kristofer D Larson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1053690677
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPINE AND SPORTS INJURY CENTER, LLC
Location Address1001 E BOGARD RDWasilla, AK 99654-7114
Mailing Address1001 E Bogard RdWasilla, AK 99654-7114 · (907) 376-2225 · Fax (907) 376-9225
Phone(907) 376-2225
Fax(907) 376-9225
Organization SubpartNo
Authorized OfficialKristofer D LarsonManaging Member · (907) 376-2225
Enumeration DateAugust 12, 2011
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1053690677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 435 (AK)
Also ListedPhysical TherapistTaxonomy 225100000X
1001 E BOGARD RD, Wasilla, AK 99654
Open in Google Maps ↗

Other Names 1

Doing Business AsComplete Family Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D2238338

Spine And Sports Injury Center, LLC Dba Complete Family Care · Wasilla, AK
Active · expires Oct 1, 2027
CLIA Number02D2238338
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorDr. Patricia G. Johnson
Laboratory Phone(907) 373-2225
Laboratory LocationSpine And Sports Injury Center, LLC Dba Complete Family Care1001 E Bogard Rd, Wasilla, AK 99654
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR DANIEL W LARSON PC
Chiropractor
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225
MAXWELL PIERCE WHITE PT, DPT
Physical Therapist
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-7246
MRS. CAROLYN MARGARET BLACK ATC
Specialist/Technologist (Athletic Trainer)
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225
MRS. AMANDA CONSTANCE WEIDMAN APRN, FNP-C
Nurse Practitioner
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-2225
BACK IN ACTION PHYSICAL THERAPY, LLC
Physical Therapist
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225
MELANIE J KIMMERY ANP
Nurse Practitioner (Primary Care)
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-2225
DR. KRISTOFER DANIEL LARSON DC
Chiropractor (Sports Physician)
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225
DR. DANIEL WERNER LARSON DC
Chiropractor
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine And Sports Injury Center, LLC's NPI number?

The NPI number for Spine And Sports Injury Center, LLC is 1053690677. It was assigned to this organization in the NPPES registry on August 12, 2011. The provider is doing business as Complete Family Care.

Where is Spine And Sports Injury Center, LLC located?

Spine And Sports Injury Center, LLC is located at 1001 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 376-2225.

What is Spine And Sports Injury Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Spine And Sports Injury Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D2238338) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spine And Sports Injury Center, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Spine And Sports Injury Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spine And Sports Injury Center, LLC was last updated on February 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.