Active NPI
Casey J Kulp, PT, DPT
- Physical Therapist
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-010365
- 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, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| Physical Medicine of Chandler LLC | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1700030939
-
dba Colorado Pain
- Pain Medicine (Anesthesiology) Physician
- Denver, CO
- NPI 1245682970
-
- General Practice Physician
- Chandler, AZ
- NPI 1801410535
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.