Individual provider Active NPI

Casey Jordan Seitz, ATC

  • Athletic Trainer
  • Oklahoma City, OK
National Provider Identifier
1194369991
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1248 Issued in OK
Practice address
2801 NW 27TH St
Oklahoma City, OK 73107-2199
Phone
(405) 587-6300
NPI assigned
Nov 5, 2019
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL6020 FL
Athletic Trainer 2255A2300X 765 OK
Athletic Trainer 2255A2300X 1248 OK Primary

Addresses

Primary practice location

2801 NW 27TH St
Oklahoma City, OK 73107-2199

Mailing address

2801 NW 27TH St
Oklahoma City, OK 73107-2106

Other practice location 1

800 S Tucker Dr
Tulsa, OK 74104-9700
Phone (918) 631-2000

Other practice location 2

7115 Lake Worth Rd
Lake Worth, FL 33467-2906
Phone (561) 318-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AL6020FLMDAthletic Trainer
765OKMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1194369991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 27TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 27TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072199",
            "telephone_number": "405-587-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Tucker Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741049700",
            "country_code": "US",
            "telephone_number": "918-631-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7115 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334672906",
            "country_code": "US",
            "telephone_number": "561-318-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "CASEY",
        "middle_name": "JORDAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL6020",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "765",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "1248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.