Individual provider Active NPI

Casey Mae Fouse, DC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1164792784
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000873 Issued in DE
Practice address
3910 Concord Pike
Wilmington, DE 19803-1716
Phone
(302) 472-4878
Fax
(302) 407-3629
NPI assigned
Jan 12, 2012
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010547 PA
Chiropractor 111N00000X F1-0000873 DE Primary

Addresses

Primary practice location

3910 Concord Pike
Wilmington, DE 19803-1716

Mailing address

3910 Concord Pike
Wilmington, DE 19803-1716
Phone (302) 472-4878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140403001653 PA Practitioner - Chiropractic 0749412856 Reassigns benefits to 1 organization
I20170420000274 DE Practitioner - Chiropractic 0749412856

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5160 Pennell Rd
Media, PA 19063-6501
Phone (412) 908-0471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Casey Chiropractic LLC Chiropractor CurrentSince Apr 8, 2022 Accepting new patients
Garnet Valley Sport & Spine Chiropractic Center PA Chiropractor CurrentSince Dec 18, 2013 Accepting new patients
Absolute Chiropractic Chiropractor PastSince Aug 1, 2018 Accepting new patients

Locations

5160 Pennell Rd
Media, PA 19063
Phone (412) 908-0471

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1164792784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031716",
            "telephone_number": "302-472-4878",
            "fax_number": "302-407-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031716",
            "telephone_number": "302-472-4878",
            "fax_number": "302-407-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUSE",
        "first_name": "CASEY",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010547",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.