Individual provider Active NPI

Whitney Casazza, PT, DPT

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1265813208
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209475 Issued in VA
Practice address
10518 Spotsylvania Ave Ste 100
Fredericksburg, VA 22408-2693
Phone
(757) 873-2302
Fax
(540) 710-5341
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209475 VA Primary

Addresses

Primary practice location

10518 Spotsylvania Ave Ste 100
Fredericksburg, VA 22408-2693

Mailing address

442 Aragona Dr
Vinton, VA 24179-2804
Phone (866) 991-0900

Other practice location 1

2126 Wayne Memorial Dr
Goldsboro, NC 27534-1722
Phone (919) 766-9022

Other practice location 2

1460 Pantops Mountain Pl
Charlottesville, VA 22911-4671
Phone (434) 817-4100

Other identifiers 1

IdentifierTypeStateIssuer
2305209475OtherVAPHYSICAL THERAPY LICENSE

Other names 1

  • Whitney Eakin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410000027 VA Practitioner - Physical Therapist in Private Practice 7810275476 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist Current Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 19, 2019 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 19, 2019 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

1460 Pantops Mountain Pl
Charlottesville, VA 22911
Phone (434) 817-4100

10518 Spotsylvania Ave
#100
Fredericksburg, VA 22408
Phone (540) 710-5341

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

209 N Madison Rd
Orange, VA 22960
Phone (540) 672-2708

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1265813208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 ARAGONA DR",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792804",
            "telephone_number": "866-991-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10518 SPOTSYLVANIA AVE STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082693",
            "telephone_number": "757-873-2302",
            "fax_number": "540-710-5341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2126 Wayne Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275341722",
            "country_code": "US",
            "telephone_number": "919-766-9022",
            "fax_number": "919-709-0433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 Pantops Mountain Pl",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114671",
            "country_code": "US",
            "telephone_number": "434-817-4100",
            "fax_number": "434-817-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASAZZA",
        "first_name": "WHITNEY",
        "credential": "PT,  DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "2305209475",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "EAKIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.