Individual provider Active NPI

Makayla Kasey, LPTA

  • Physical Therapy Assistant
  • Concord, NC
National Provider Identifier
1053970368
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A5120 Issued in NC
Practice address
3700 Taylor Glen LN NW Apt 351C
Concord, NC 28027-3449
Phone
(704) 788-6510
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A5120 NC Primary

Addresses

Primary practice location

3700 Taylor Glen LN NW Apt 351C
Concord, NC 28027-3449

Mailing address

350 Halton Crossing Dr SW
Concord, NC 28027-9432
Phone (980) 248-3470

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

LicenseStateTypeSpecialty
A5120NCMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1053970368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HALTON CROSSING DR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279432",
            "telephone_number": "980-248-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 TAYLOR GLEN LN NW APT 351C",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273449",
            "telephone_number": "704-788-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASEY",
        "first_name": "MAKAYLA",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.