Individual provider Active NPI

Nicholas Caserza, DPT

  • Physical Therapist
  • Vacaville, CA
National Provider Identifier
1447599683
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39621 Issued in CA
Practice address
1350 Burton Dr
Suite 260
Vacaville, CA 95687-3539
Phone
(707) 449-3484
Fax
(707) 449-1803
NPI assigned
Feb 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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 39621 CA Primary

Addresses

Primary practice location

1350 Burton Dr
Suite 260
Vacaville, CA 95687-3539

Mailing address

1350 Burton Dr
Suite 260
Vacaville, CA 95687-3539
Phone (707) 449-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Sports Physical Therapy & Training, Inc. Physical Therapist CurrentSince Apr 30, 2023 Accepting new patients

Locations

1350 Burton Dr
Ste 260
Vacaville, CA 95687
Phone (707) 449-3484

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1447599683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BURTON DR",
            "address_2": "SUITE 260",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873539",
            "telephone_number": "707-449-3484",
            "fax_number": "707-449-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BURTON DR",
            "address_2": "SUITE 260",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873539",
            "telephone_number": "707-449-3484",
            "fax_number": "707-449-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASERZA",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.