Individual provider Active NPI

Casey J Kulp, PT, DPT

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1073801254
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-010365 Issued in AZ
Practice address
20255 N Lake Pleasant Rd Ste 102
Peoria, AZ 85382-9747
Phone
(623) 376-8225
NPI assigned
Jul 21, 2011
Last updated
Feb 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-010365 AZ Primary

Addresses

Primary practice location

20255 N Lake Pleasant Rd Ste 102
Peoria, AZ 85382-9747

Mailing address

20255 N Lake Pleasant Rd Ste 102
Peoria, AZ 85382-9747
Phone (623) 376-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221002653 AZ Practitioner - Physical Therapist in Private Practice 2769651926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince May 20, 2023 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince May 20, 2023 Accepting new patients
Physical Medicine of Chandler LLC PastSince May 1, 2020 Accepting new patients

Locations

2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101

20255 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 376-8225

7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

10611 N Hayden Rd
Ste 102D
Scottsdale, AZ 85260
Phone (480) 307-8258

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

Interoperability endpoints

  • Direct secure messaging: casey.kulp@azp.eclinicaldirectplus.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1073801254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20255 N LAKE PLEASANT RD STE 102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829747",
            "telephone_number": "623-376-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20255 N LAKE PLEASANT RD STE 102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829747",
            "telephone_number": "623-376-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULP",
        "first_name": "CASEY",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-010365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.