Active NPI
Casey Rose Vasilak, ATC/L
- Athletic Trainer
- West Lafayette, IN
National Provider Identifier
1033492186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001660A
- Practice address
- 915 Sagamore Pkwy W
West Lafayette, IN 47906-1443 - Phone
- (765) 463-2424
- Fax
- (765) 463-2246
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001660A | IN | Primary |
Addresses
Primary practice location
915 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Mailing address
915 Sagamore Pkwy W
West Lafayette, IN 47906-1443
Phone (765) 463-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001660A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1033492186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 SAGAMORE PKWY W",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061443",
"telephone_number": "765-463-2424",
"fax_number": "765-463-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 SAGAMORE PKWY W",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479061443",
"telephone_number": "765-463-2424",
"fax_number": "765-463-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASILAK",
"first_name": "CASEY",
"middle_name": "ROSE",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001660A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.