Active NPI
Casey A Dull, PT
- Physical Therapist
- Pensacola, FL
National Provider Identifier
1508840356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18460
- Practice address
- 8333 N Davis Hwy
Pensacola, FL 32514-6050 - Phone
- (850) 969-2600
- Fax
- (850) 969-2601
- NPI assigned
- Dec 5, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18460 | FL | Primary |
Addresses
Primary practice location
8333 N Davis Hwy
Pensacola, FL 32514-6050
Mailing address
8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 969-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040504000519 | FL | Practitioner - Physical Therapist in Private Practice | 8022006535 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic, PA | Current | Accepting new patients | |
| Back to Normal, LLC | Current | Accepting new patients | |
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Locations
8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000
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.
-
- Multi-Specialty Clinic/Center
- Pensacola, FL
- NPI 1568452688
FL
-
- Durable Medical Equipment & Medical Supplies
- Pensacola, FL
- NPI 1821598731
-
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1508840356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-969-2600",
"fax_number": "850-969-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-969-2600",
"fax_number": "850-969-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULL",
"first_name": "CASEY",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.