Casey James Hebenstreit, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5873 Issued in TX

Practice address

1400 E Hanna Ave
Indianapolis, IN 46227-3630

Phone

(317) 788-3309

Fax

(317) 788-3472

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1689128332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 PIPESTONE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462179202",
            "telephone_number": "317-496-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E HANNA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462273630",
            "telephone_number": "317-788-3309",
            "fax_number": "317-788-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12701 West Ave Apt 734",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782161863",
            "country_code": "US",
            "telephone_number": "317-496-2630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBENSTREIT",
        "first_name": "CASEY",
        "middle_name": "JAMES",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Home Care Services Inc
• Heavenly Touch Home Care LLC
• Heavin Chiropractic LLC
• Jeffrey Kent Heavin, DC
• Jessica Heavrin
• Maridith Rose Hebenstreit, PHARMD
• Victoria Heberling, M.S. CCC-SLP
• Shaina Michelle Hecht
• Tyler Joseph William Hecht, MD
• Eric Walter Hecimovich, PHARMD

• Athletic Trainer in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.