Casanova Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CASANOVA PHYSICAL THERAPY, LLC

Practice address

6631 Commerce Pkwy Ste K
Dublin, OH 43017-3239

Phone

(614) 779-3646

NPI assigned

Feb 25, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Santiago Casanova, PTNPI 1740709997

Title

Owner, PT

Phone

(614) 389-0285

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23491/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Santiago Casanova, PT

  • Physical Therapy Clinic/Center
  • Dublin, OH
  • NPI 1740709997

  TN

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1174117584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 COMMERCE PKWY STE K",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173239",
            "telephone_number": "614-389-0285",
            "fax_number": "614-389-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 COMMERCE PKWY STE K",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173239",
            "telephone_number": "614-779-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASANOVA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "614-389-0285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Carter, MSW
• Matthew Carter
• Nicole Carter
• Maria Suzanne Casa, LPCC
• Megan Casale, ATC
• Santiago Casanova, PT
• Abigail Caserta, PH.D
• Diane Christine Casey, MS, RDN, LDN
• Summer Casey
• Erichia Cash

• Physical Therapy Clinic/Center in Dublin, OH
• Providers in Dublin, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.