Caitlin Nicole Casazza, KINESIOLOGIST

Primary specialty

KinesiotherapistTaxonomy code 226300000X

Practice address

2022 Windward LN Ste B
Gainesville, GA 30501-7418

Phone

(470) 252-6710

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1376216457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEW HOLLAND WAY NE APT 1326",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305010002",
            "telephone_number": "336-906-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 WINDWARD LN STE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017418",
            "telephone_number": "470-252-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAZZA",
        "first_name": "CAITLIN",
        "middle_name": "NICOLE",
        "credential": "KINESIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "charmtracker",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Innovation MD LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2022 Windward Ln Ste B",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305017418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jerry Carter III
• Patricia Lorraine Carter, L.P.C.
• Shelby Lee Carter, FNP-C
• Stephanie A Carter, ANP
• Brian Dovard Cartledge, PT
• Caitlin B Casper, PHARMD
• Catherine Casper, MPT
• Elizabeth Cassady
• Clark C Casteel, L. AC., D.O.M.
• Armando R Castillo Jr., MD

• Kinesiotherapist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Kinesiotherapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.