Debra A Casey, PTA
Individual provider Active NPI Physical Therapy Assistant · Greensboro, NC
NPI 1124223136 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124223136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3597 (NC)
- Practice address
- 6100 W Friendly Ave
Greensboro, NC 27410-4160 - Phone
- (336) 292-1301
- Fax
- (336) 292-1301
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3597 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3597 | NC | Yes |
Addresses
Primary practice location
6100 W Friendly Ave
Greensboro, NC 27410-4160
Mailing address
8093 Meadow Springs PL.
Stokesdale, NC 27357
Phone (336) 682-0915
NPI Registry JSON
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124223136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8093 MEADOW SPRINGS PL.",
"city": "STOKESDALE",
"state": "NC",
"postal_code": "27357",
"telephone_number": "336-682-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 W FRIENDLY AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104160",
"telephone_number": "336-292-1301",
"fax_number": "336-292-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "DEBRA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "3597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Michael Lane Casciere
- Case Management Care, Inc.
- Case Management Care, Inc.
- Dianna Lynn Case
- Molly Casebere
- Makeba Larkin Casey
- Rebecca Marie Cash
- Colter Cashion
- Scott William Cashion VI
- Craig Scott Cashwell
All providers in Greensboro, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.