Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Buffham

Individual provider Physical Therapist · NPI 1487100616

Kevin Buffham is a Physical Therapist in Private Practice in Fairbanks, Alaska. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Alaska and Vermont.

Years since qualifying
13
Licensed in
AK, VT
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1919 Lathrop St Ste 123
Fairbanks, AK 99701-5937
Phone: (907) 455-4401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 111970 (AK)
Physical Therapist Taxonomy 225100000X · Licence 040.0134914 (VT)

Record details

NPI number1487100616
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairbanks