Individual provider Active NPI

Casey Karen Bartolo, MPT

  • Physical Therapist
  • N Las Vegas, NV
National Provider Identifier
1578605325
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1637 Issued in NV
Practice address
1815 E Lake Mead Blvd Ste 200
N Las Vegas, NV 89030-7189
Phone
(702) 685-0440
Fax
(702) 974-6717
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 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 1637 NV Primary

Addresses

Primary practice location

1815 E Lake Mead Blvd Ste 200
N Las Vegas, NV 89030-7189

Mailing address

1815 E Lake Mead Blvd Ste 200
N Las Vegas, NV 89030-7189
Phone (702) 685-0440

Other identifiers 1

IdentifierTypeStateIssuer
1578605325MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000516 NV Practitioner - Physical Therapist in Private Practice 7618027087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MML Physical Therapy Group IncGroup PAC ID 4486786514, 3 clinicians

Practice addresses (Care Compare)

1815 E Lake Mead Blvd
Suite 200
N Las Vegas, NV 89030-7189
Phone (702) 685-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1637NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Executive Fitness Inc PastSince Aug 26, 2021 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Brandon Jackson PT Past Accepting new patients
Dignity Health Past Accepting new patients

Organizations & group practices 7

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1578605325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 200",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307189",
            "telephone_number": "702-685-0440",
            "fax_number": "702-974-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 200",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307189",
            "telephone_number": "702-685-0440",
            "fax_number": "702-974-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLO",
        "first_name": "CASEY",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578605325",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.