Casey Koller

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2015003523 Issued in MO

Practice address

21964 Highway 32
Sainte Genevieve, MO 63670-9190

Phone

(573) 883-9366

Fax

(573) 883-9377

NPI assigned

Feb 27, 2015

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid America Rehab, P.C.Group PAC ID 9830236769, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mid America Rehab, P.C.

  • Physical Therapist
  • Cape Girardeau, MO
  • NPI 1639143357
  Medicare reassignment Care Compare group NPD
• Ste Genevieve County Memorial Hospital

  • Critical Access Hospital
  • Ste Genevieve, MO
  • NPI 1073587655
  Medicare reassignment NPD
• Ste Genevieve County Memorial Hospital

  • Rural Health Clinic/Center
  • Bloomsdale, MO
  • NPI 1184658387
  Medicare reassignment NPD
• Analytical Pathology Services LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Louis, MO
  • NPI 1558343673
  NPD
• Ste Genevieve County Memorial Hospital

  • Orthopaedic Surgery Physician
  • Ste Genevieve, MO
  • NPI 1508915372
  NPD
• Ste Genevieve County Memorial Hospital

  • Radiology Clinic/Center
  • Bloomsdale, MO
  • NPI 1902153539
  NPD
• Ste. Genevieve County Memorial Hospital

  • Foot Surgery Podiatrist
  • Bloomsdale, MO
  • NPI 1104692946
  NPD

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1699167692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11394 STATE ROUTE M",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708604",
            "telephone_number": "573-883-9366",
            "fax_number": "573-883-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21964 HIGHWAY 32",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636709190",
            "telephone_number": "573-883-9366",
            "fax_number": "573-883-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLER",
        "first_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015003523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Jokerst, PTA
• Kent J Sadler DDS PC
• Hannah Elizabeth Kertz, MD
• Klein Eye Care I, Inc
• Michael A Kolda, M.D.
• Henry Joseph Konzelmann, M.D.
• Dale M Kraenzle, FNP
• Jenna Kuehn, PTA
• Roland B Kuenzel, DC
• Courtney Kwan

• Physical Therapist in Sainte Genevieve, MO
• Providers in Sainte Genevieve, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.