Casey A Vedder, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8944 Issued in NC

Practice address

847 Westlake Drive
Mount Airy, NC 27030-2703

Phone

(336) 783-9400

Fax

(336) 783-9406

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choice Physical Therapy and Wellness, IncGroup PAC ID 5991888950, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: casey.vedder.1@15683.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Choice Physical Therapy & Wellness, Inc

  • Physical Medicine & Rehabilitation Physician
  • Mount Airy, NC
  • NPI 1912085648

  Physical Therapist, VA

  Medicare reassignment Care Compare group NPD Authorized official
• Blacksburg Neurology PC

  • Specialist
  • Christiansburg, VA
  • NPI 1114937109
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1053384438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W INDEPENDENCE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303500",
            "telephone_number": "336-783-9400",
            "fax_number": "336-783-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 WESTLAKE DRIVE",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302703",
            "telephone_number": "336-783-9400",
            "fax_number": "336-783-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDDER",
        "first_name": "CASEY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "196659",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212439",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Clay Turman, M.D.
• Paul Thomas Turok, CERTIFIED OCCUPATION
• Bobby Tysinger
• Uplift Pediatric Therapy LLC
• Vanna Care Inc
• Marvin Clark Vice, D.O.
• Josue Alejandro Villegas-Silva
• Vitamind Counseling PLLC
• Cortland Caroline Voelkel, PA-C
• Anna Grace Wagoner

• Physical Therapist in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.