Active NPI
Kevin William Casey, ATC/L
- Athletic Trainer
- Normal, IL
National Provider Identifier
1467887570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096002782
- Practice address
- 2000 N Linden St
B107
Normal, IL 61761-5321 - Phone
- (309) 530-4741
- NPI assigned
- Sep 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096002782 | IL | Primary |
Addresses
Primary practice location
2000 N Linden St
B107
Normal, IL 61761-5321
Mailing address
2000 N Linden St
B107
Normal, IL 61761-5321
Phone (309) 530-4741
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096002782 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378598400000",
"number": "1467887570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N LINDEN ST",
"address_2": "B107",
"city": "NORMAL",
"state": "IL",
"postal_code": "617615321",
"telephone_number": "309-530-4741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N LINDEN ST",
"address_2": "B107",
"city": "NORMAL",
"state": "IL",
"postal_code": "617615321",
"telephone_number": "309-530-4741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "KEVIN",
"middle_name": "WILLIAM",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-08",
"last_updated": "2013-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096002782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.