Casey J. Moeller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1924 Issued in NE

Practice address

830 E 1St St
Crete, NE 68333-3108

Phone

(402) 826-2255

Fax

(402) 826-2288

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coddington Physical Therapy LLCGroup PAC ID 4486787793, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coddington Physical Therapy, LLC

  • Physical Therapist
  • Lincoln, NE
  • NPI 1740503739
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lincoln, NE
  • NPI 1811448640

  Physical Therapist

  Medicare reassignment NPD
• Crete Physical Therapy, LLC

  • Physical Therapist
  • Crete, NE
  • NPI 1841246170
  Medicare reassignment NPD
• Lincoln Orthopedic Physical Therapy PC

  dba Lincoln Orthopedic Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1568837482

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1205881471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683330294",
            "telephone_number": "402-826-2255",
            "fax_number": "402-826-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E 1ST ST",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333108",
            "telephone_number": "402-826-2255",
            "fax_number": "402-826-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18780S 68TH ST A",
            "address_purpose": "LOCATION",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683727083",
            "country_code": "US",
            "telephone_number": "402-792-2223",
            "fax_number": "402-792-2228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 E Highway 33",
            "address_purpose": "LOCATION",
            "city": "Crete",
            "state": "NE",
            "postal_code": "683335075",
            "country_code": "US",
            "telephone_number": "402-826-2255",
            "fax_number": "402-826-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "CASEY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36516",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650013667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Jean Milholland
• Kristy Denise Miller, OTR/L
• Troy Lee Miller, DO
• Rachel Mitchelar
• Devona Mitchell
• Sofia Marilu Montejo
• Jordon Morales-West
• Mayelin Moreno Hidalgo
• Violet Murcek
• Luevonne Murrell

• Physical Therapist in Crete, NE
• Providers in Crete, NE by specialty
• Physical Therapist in Nebraska

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