Individual provider Active NPI

Casey Allison Blacker, DPT

  • Physical Therapist
  • Kennett Square, PA
National Provider Identifier
1356821037
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029003 Issued in PA
Practice address
674 Unionville Rd Ste 101
Kennett Square, PA 19348-4712
Phone
(610) 925-4856
Fax
(610) 925-4859
NPI assigned
Aug 21, 2018
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT029003 PA Primary
Physical Therapist 225100000X 27099 MD

Addresses

Primary practice location

674 Unionville Rd Ste 101
Kennett Square, PA 19348-4712

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

5500 Knoll North Dr Ste 150
Columbia, MD 21045-2476
Phone (443) 542-0062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104000452 PA Practitioner - Physical Therapist in Private Practice 1557605870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27099MDMDPhysical Therapist
PT029003PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Oct 23, 2020 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Oct 23, 2020 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince Dec 17, 2020 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Dec 17, 2020 Accepting new patients
Procare Physical Therapy Inc Physical Therapist Past Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

4948 Pennell Rd
Aston, PA 19014
Phone (610) 494-8730

600 Evergreen Dr
Ste 201
Glen Mills, PA 19342
Phone (484) 818-2225

674 Unionville Rd
Ste 101
Kennett Square, PA 19348
Phone (610) 925-4856

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

4301 Penn Ave
Sinking Spring, PA 19608
Phone (610) 927-4136

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1356821037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 UNIONVILLE RD STE 101",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193484712",
            "telephone_number": "610-925-4856",
            "fax_number": "610-925-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Knoll North Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452476",
            "country_code": "US",
            "telephone_number": "443-542-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKER",
        "first_name": "CASEY",
        "middle_name": "ALLISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029003",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.