Organization Active NPI

Cast Therapy LLC

  • Physical Therapist
  • Blue Ash, OH
National Provider Identifier
1699044172
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAST THERAPY LLC
Practice address
4555 Lake Forest Dr
Suite 150
Blue Ash, OH 45242-3785
Phone
(513) 281-2278
Fax
(513) 221-8219
NPI assigned
Dec 29, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR ADVANCED SPINE TECHNOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Jack Johnson
Title
Cfo
Phone
(281) 881-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X OH Primary

Addresses

Primary practice location

4555 Lake Forest Dr
Suite 150
Blue Ash, OH 45242-3785

Mailing address

4555 Lake Forest Dr
Suite 150
Blue Ash, OH 45242-3785
Phone (513) 281-2278

National Provider Directory

National Provider Directory
Part of
Center for Advanced Spine Technologies Inc

Locations

652 Rodeo Dr
Erlanger, KY 41018
Phone (513) 281-2278

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1699044172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 LAKE FOREST DR",
            "address_2": "SUITE 150",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423785",
            "telephone_number": "513-281-2278",
            "fax_number": "513-221-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 LAKE FOREST DR",
            "address_2": "SUITE 150",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423785",
            "telephone_number": "513-281-2278",
            "fax_number": "513-221-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAST THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR ADVANCED SPINE TECHNOLOGY",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-881-4211"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.