Casaundra Rochelle Perry, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502005599 Issued in MI

Practice address

1961 Delta Rd
University Center, MI 48710-1001

Phone

(989) 686-9316

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Casaundra Rochelle Rice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1194201186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELTA COLLEGE",
            "address_2": "1961 DELTA RD",
            "city": "UNIVERSITY DR",
            "state": "MI",
            "postal_code": "48710",
            "telephone_number": "989-686-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 DELTA RD",
            "city": "UNIVERSITY CENTER",
            "state": "MI",
            "postal_code": "487101001",
            "telephone_number": "989-686-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CASAUNDRA",
        "middle_name": "ROCHELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASAUNDRA",
            "last_name": "RICE",
            "middle_name": "ROCHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley L Huggett
• Kelsey Christine Jarvis, NP
• Genevieve Kucharski
• Lindsey Minnich
• Jessica Pavwoski, FNP-C
• Kayla Elizabeth Phillips, ATC
• Alyssa Pollard-McGrandy
• Saginaw Valley State University
• Stephanie Schulmeyer, AT, MS, ATC
• Bradley R Smith, MS, ATC

• Physical Therapy Assistant in University Center, MI
• Providers in University Center, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.