Active NPI
Casey Pond
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1649771452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13533
- Practice address
- 4600 E Shea Blvd Ste 101
Phoenix, AZ 85028-6031 - Phone
- (602) 368-8601
- NPI assigned
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 13533 | AZ | Primary |
Addresses
Primary practice location
4600 E Shea Blvd Ste 101
Phoenix, AZ 85028-6031
Mailing address
2130 W Camino St Unit 2
Mesa, AZ 85201-4435
Phone (760) 799-4360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13533 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare PLLC | Physical Therapist | Current | Accepting new patients |
| Sunrise Therapy Services, Inc | Physical Therapist | Current | Accepting new patients |
| Sunrise Therapy Services, Inc | Physical Therapist | Past | Accepting new patients |
Locations
4045 E Union Hills Dr
Ste 110
Phoenix, AZ 85050
Phone (602) 485-4444
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.
-
- Rehabilitation Practitioner
- Phoenix, AZ
- NPI 1033113501
Physical Therapist
-
- Health Service Clinic/Center
- Phoenix, AZ
- NPI 1063277689
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1649771452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 W CAMINO ST UNIT 2",
"city": "MESA",
"state": "AZ",
"postal_code": "852014435",
"telephone_number": "760-799-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E SHEA BLVD STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286031",
"telephone_number": "602-368-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POND",
"first_name": "CASEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "13533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.