Casey Stephen Wallace, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

200 Newport Center Dr Ste 213
Newport Beach, CA 92660-7503

Phone

(949) 644-1322

NPI assigned

Oct 29, 2017

Last updated

Oct 29, 2017By 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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Sports Physical Therapy Centers IncGroup PAC ID 7618956889, 37 clinicians

California Rehabilitation and Sports Therapy a California Physical theGroup PAC ID 6709788896, 182 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Sports Physical Therapy Centers, Inc.

  dba California Sports Physical Therapy

  • Physical Therapist
  • Monterey, CA
  • NPI 1467436329
  Medicare reassignment Care Compare group NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation & Sports Therapy

  • Physical Therapist
  • Irvine, CA
  • NPI 1568414597
  NPD
• California Sports Physical Therapy Centers Inc

  dba Albany Physical Therapy

  • Physical Therapist
  • Albany, CA
  • NPI 1891472965
  NPD
• California Sports Physical Therapy Centers, Inc.

  dba California Sports Physical Therapy

  • Multi-Specialty Clinic/Center
  • Stockton, CA
  • NPI 1235111741

  Physical Therapist

  NPD

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

{
    "created_epoch": "1509235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509235200000",
    "number": "1326550518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30059 BIG RANGE RD",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877660",
            "telephone_number": "951-809-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEWPORT CENTER DR STE 213",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607503",
            "telephone_number": "949-644-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CASEY",
        "middle_name": "STEPHEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-29",
        "last_updated": "2017-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mykiyaa Marvella Walker-Sanchez
• Lorraine Annette Walker, M.D.
• Michael Owen Walker, PA
• Todd Michael Walkow, DMD
• Michelle Wall, P.T.
• Melia Wallin, PSY.D.
• Shavvonne Walls
• Anne Marie Walsh, P.A.
• Lauren Nicole Walstead
• Curtis Fred Walter, RCP

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2017; 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.