Active NPI
Charis Casey, OTR, OTD
- Physical Rehabilitation Occupational Therapist
- San Marcos, TX
National Provider Identifier
1629948518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 122222
- Practice address
- 324 Riverwalk Dr Ste 312
San Marcos, TX 78666-6936 - Phone
- (512) 268-9130
- NPI assigned
- Nov 6, 2025
- Sex
- Female
- 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 Rehabilitation Occupational Therapist | 225XP0019X | 122222 | TX | Primary |
Addresses
Primary practice location
324 Riverwalk Dr Ste 312
San Marcos, TX 78666-6936
Mailing address
240 Highland HTS
Canyon Lake, TX 78133-3515
Phone (210) 683-3791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527000111 | TX | Practitioner - Occupational Therapist in Private Practice | 3577033026 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
158 S Seguin Ave
New Braunfels, TX 78130-5117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122222 | TX | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fearless Functional Fitness, LLC | Current | Accepting new patients |
Locations
324 Riverwalk Dr
Ste 312
San Marcos, TX 78666
Phone (512) 268-9130
Organizations & group practices 2
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.
-
- Physical Therapist
- San Marcos, TX
- NPI 1063974152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1629948518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 HIGHLAND HTS",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781333515",
"telephone_number": "210-683-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 RIVERWALK DR STE 312",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666936",
"telephone_number": "512-268-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "CHARIS",
"credential": "OTR, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TX",
"license": "122222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.