Individual provider Active NPI

Casey Stevens Irvine

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1376175901
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21121 Issued in NC
Practice address
6601 Hillsborough St Ste 109a
Raleigh, NC 27606-1174
Phone
(919) 349-8808
NPI assigned
Feb 11, 2020
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 P21121 NC Primary

Addresses

Primary practice location

6601 Hillsborough St Ste 109a
Raleigh, NC 27606-1174

Mailing address

6601 Hillsborough St Ste 109a
Raleigh, NC 27606-1174
Phone (919) 349-8808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107000689 NC Practitioner - Physical Therapist in Private Practice 0547673444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Luna Care Physical Therapy LLCGroup PAC ID 8921418757, 66 clinicians

Practice addresses (Care Compare)

144 Sierra Dr
Hendersonville, NC 28739-7964
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 10, 2024 Accepting new patients
Promet Physical Therapy, PC Physical Therapist PastSince Feb 1, 2020 Accepting new patients
Promet Physical Therapy PC Physical Therapist PastSince Feb 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1376175901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 HILLSBOROUGH ST STE 109A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061174",
            "telephone_number": "919-349-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 HILLSBOROUGH ST STE 109A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061174",
            "telephone_number": "919-349-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "CASEY",
        "middle_name": "STEVENS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.