Individual provider Active NPI

Casey C Flynn, DPT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1457268872
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
055972 Issued in NY
Practice address
1631 Richmond Ave
Staten Island, NY 10314-1530
Phone
(718) 499-0957
NPI assigned
Aug 24, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 055972 NY Primary

Addresses

Primary practice location

1631 Richmond Ave
Staten Island, NY 10314-1530

Mailing address

2201 Beverley Rd Apt 623a
Brooklyn, NY 11226-8957
Phone (443) 924-1085

Other practice location 1

646 5th Ave
Brooklyn, NY 11215-5401
Phone (718) 499-0957

Other practice location 2

829 Father Capodanno Blvd
Staten Island, NY 10305-4038
Phone (347) 694-5090

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1457268872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BEVERLEY RD APT 623A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112268957",
            "telephone_number": "443-924-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141530",
            "telephone_number": "718-499-0957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "646 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112155401",
            "country_code": "US",
            "telephone_number": "718-499-0957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 Father Capodanno Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103054038",
            "country_code": "US",
            "telephone_number": "347-694-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "CASEY",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "055972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.