Individual provider Active NPI

Rodney Lance McCaslin, PT

  • Physical Therapist
  • Higginsville, MO
National Provider Identifier
1376528596
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2009009835 Issued in MO
Practice address
720 Fairground Ave
Higginsville, MO 64037-1638
Phone
(660) 584-7801
Fax
(660) 584-8619
NPI assigned
Dec 9, 2005
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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 2009009835 MO Primary

Addresses

Primary practice location

720 Fairground Ave
Higginsville, MO 64037-1638

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090720000453 MO Practitioner - Physical Therapist in Private Practice 1759433972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians

Practice addresses (Care Compare)

720 Fairground Ave
Higginsville, MO 64037-1638
Phone (660) 584-7801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009009835MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Dec 3, 2012 Accepting new patients
Serc Rehabilitation Partners, LLC CurrentSince Dec 3, 2012 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist Current Accepting new patients
Physical Therapy of Higginsville Physical Therapist Past Accepting new patients
Physical Therapy of Concordia Inc Physical Therapist PastSince Aug 2, 2004 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

17134 Bel Ray Pl
Belton, MO 64012
Phone (816) 226-4011

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

720 Fairground Ave
Higginsville, MO 64037
Phone (660) 584-7801

540 E Young Ave
Ste E
Warrensburg, MO 64093
Phone (660) 262-4795

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

Organizations & group practices 5

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1376528596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 FAIRGROUND AVE",
            "city": "HIGGINSVILLE",
            "state": "MO",
            "postal_code": "640371638",
            "telephone_number": "660-584-7801",
            "fax_number": "660-584-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASLIN",
        "first_name": "RODNEY",
        "middle_name": "LANCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009009835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Higginsville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.