Casey A Wolfe, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012036 Issued in GA

Practice address

12050 Etris Rd
Suite E-150
Roswell, GA 30075-1443

Phone

(770) 801-4657

Fax

(470) 545-7975

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Physical Therapy LLCGroup PAC ID 7810247848, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.41 of 100Reported as group

Quality

80.42

Improvement activities

40

Cost

70.8

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restore Physical Therapy, LLC

  dba FYZICAL Therapy & Balance Center

  • Physical Therapist
  • Jesup, GA
  • NPI 1306331756
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1275902793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242278",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242278",
            "telephone_number": "334-625-5795",
            "fax_number": "334-396-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 ETRIS RD",
            "address_2": "SUITE E-150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751443",
            "telephone_number": "770-801-4657",
            "fax_number": "470-545-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "CASEY",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna English Wisted, CRNA
• Eugene Witkin, DDS
• Michelle Hudson Wiwi, CRNA
• Carson Wolf, P.T.
• Tessa Trussell Wolf, PSYD
• Nancy E Wolff, MS,PT
• Wendy L Wolff, GNP-C
• Wonderland Pediatric Dentistry
• Wonderland Pediatric Dentistry, PC
• Wonderlove Lactation Services

• Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.