Individual provider Active NPI

Casey Pond

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1649771452
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13533 Issued in AZ
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

Updated by the provider on Feb 27, 2018

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 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

Enrollment IDStateProvider typePAC IDDetails
I20201117002042 AZ Practitioner - Physical Therapist in Private Practice 8729499025 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13533AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare PLLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Sunrise Therapy Services, Inc Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Sunrise Therapy Services, Inc Physical Therapist PastSince Feb 18, 2024 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.

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.

Verify at the official NPI Registry.