Individual provider Active NPI

Kevin McCaskill, PTA, CLT

  • Physical Therapy Assistant
  • Tallahassee, FL
National Provider Identifier
1063186385
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA29258 Issued in FL
Practice address
2743 Capital Cir NE Ste 106
Tallahassee, FL 32308-1115
Phone
(850) 725-5008
Fax
(850) 383-0099
NPI assigned
Aug 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 PTA29258 FL Primary

Addresses

Primary practice location

2743 Capital Cir NE Ste 106
Tallahassee, FL 32308-1115

Mailing address

PO Box 5944
Tallahassee, FL 32314-5944
Phone (850) 241-2311

Other practice location 1

1329 Abraham St
Tallahassee, FL 32304-1907
Phone (850) 224-8486

Other names 1

  • Mr. Kevin McCaskill Professional name

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
PTA29258FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holmes Therapy Services LLC CurrentSince Aug 8, 2021 Accepting new patients
Physical Therapy Now Holdings, LLC PastSince Aug 8, 2021 Accepting new patients

Locations

2743 Capital Cir NE
Ste 106
Tallahassee, FL 32308
Phone (850) 725-5008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1063186385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5944",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323145944",
            "telephone_number": "850-241-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 CAPITAL CIR NE STE 106",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081115",
            "telephone_number": "850-725-5008",
            "fax_number": "850-383-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 Abraham St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323041907",
            "country_code": "US",
            "telephone_number": "850-224-8486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCASKILL",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PTA, CLT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "MCCASKILL",
            "prefix": "MR.",
            "credential": "PTA, CLT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.