Michael Brent Kasai, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002700 Issued in GA

Practice address

315 Shorter Ave SW
Rome, GA 30165-4267

Phone

(706) 233-7490

NPI assigned

Feb 26, 2016

Last updated

Feb 26, 2016By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1386004869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE APT 4",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613180",
            "telephone_number": "336-317-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SHORTER AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654267",
            "telephone_number": "706-233-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASAI",
        "first_name": "MICHAEL",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallin Judd
• Nathan Parish Judge, MD
• Racquel Kaizer, MD
• Neha Reddy Kanthala, M.D.
• Lydia Kaoutzani, MD
• Aissata Lim-Yekhuang Kaya
• Leslie Ann Kaye, CFNP
• Patrick David Kearns, M.D.
• Anne K Keaton Bilicki, PHARMD
• Brian Thomas Keefe, MD

• Athletic Trainer in Rome, GA
• Providers in Rome, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.