Casey R Moles

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6350 Issued in TN

Practice address

220 Longmire Rd
Clinton, TN 37716-7338

Phone

(865) 457-6925

NPI assigned

Mar 25, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1336726504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S EAST END RD",
            "city": "STRAW PLAINS",
            "state": "TN",
            "postal_code": "378714425",
            "telephone_number": "865-221-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LONGMIRE RD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377167338",
            "telephone_number": "865-457-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLES",
        "first_name": "CASEY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krea Merritt, PTA, CCI
• Matthew A Meyers, AANP
• Jason Daniel Mikles, RN
• Sandra Ella Humphrey Mincey, FNP-BC
• Kelli Denise Minga, OTA
• Casey J Montague, H.I.S.
• Bailey A Moore, COTA
• Jessica Moore, APRN
• Sharissa Rena Morris, LPN
• Ella J. Mowrer, M.S., R.D., LDN

• Physical Therapy Assistant in Clinton, TN
• Providers in Clinton, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.