Casa Care Pediatric Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

P11495 Issued in NC

Legal business name

CASA CARE PEDIATRIC THERAPY, LLC

Practice address

17115 Kenton Dr
Suite 204-a
Cornelius, NC 28031-5645

Phone

(704) 892-8074

Fax

(704) 892-8075

NPI assigned

Jul 29, 2013

Last updated

Jan 11, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen L. Crilly, PT, MAPT, DPTNPI 1861732596

Title

Owner/Clinic Director

Phone

(704) 892-8074

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen L Crilly, PT, MAPT, DPT

  • Pediatric Physical Therapist
  • Cornelius, NC
  • NPI 1861732596
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1639511835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 KENTON DR",
            "address_2": "SUITE 204-A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315645",
            "telephone_number": "704-892-8074",
            "fax_number": "704-892-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 KENTON DR",
            "address_2": "SUITE 204-A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315645",
            "telephone_number": "704-892-8074",
            "fax_number": "704-892-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA CARE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "CRILLY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "704-892-8074",
        "authorized_official_credential": "PT, MAPT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P11495",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "8676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Physicians Network Inc (Atrium Health Musculoskeletal Institute Orthopedics & Sports Medicine)
• Carolinas Physicians Network Inc (Carolinas Cancer Care)
• Carolinas Physicians Network, Inc. (Cornelius Family Medicine)
• Carolinas Physicians Network, Inc. (The Sanger Clinic)
• Jordan Nicole Carroll, LPCA
• Raegan Cashion, NP
• Christopher Charles Castiglia-Marelli, MSW, LCSW
• Castle Counseling
• Castle Counseling
• Jose Castro

• Pediatric Physical Therapist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.