Individual provider Active NPI

Casie Tucker, DPT

  • Physical Therapist
  • Paducah, KY
National Provider Identifier
1497794994
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7165 Issued in TN
Practice address
100 Kiana CT Apt a
Paducah, KY 42001-6767
Phone
(270) 443-0681
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 7165 TN Primary

Addresses

Primary practice location

100 Kiana CT Apt a
Paducah, KY 42001-6767

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104002531 KY Practitioner - Physical Therapist in Private Practice 6204859598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Physical Therapy LLCGroup PAC ID 0941523245, 7 clinicians

Practice addresses (Care Compare)

100 Kiana CT
Apt a
Paducah, KY 42001-6767
Phone (270) 443-0681

Merit-based Incentive Payment System (MIPS)

Final score
81.62 of 100Reported as group
Quality
74.07
Promoting interoperability
92
Improvement activities
40
Cost
71.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy LLC CurrentSince Sep 20, 2022 Accepting new patients
Atlas Physical Therapy LLC PastSince Sep 20, 2022 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC Physical Therapist Past Accepting new patients

Locations

484 Riverside Ave
Jacksonville, FL 32202
Phone (904) 579-2824

244 US Highway 68 E
Benton, KY 42025
Phone (270) 443-0681

1413 State Route 45 N
Mayfield, KY 42066
Phone (270) 247-9500

100 Kiana Ct
Apt A
Paducah, KY 42001
Phone (270) 408-2123

Organizations & group practices 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1497794994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KIANA CT APT A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016767",
            "telephone_number": "270-443-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CASIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.