Individual provider Active NPI

Casey Tarwater, PT, DPT

  • Physical Therapist
  • Monroe, NC
National Provider Identifier
1700344504
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18600 Issued in NC
Practice address
1730 Dickerson Blvd Ste D
Monroe, NC 28110-2884
Phone
(704) 283-6700
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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 18600 NC Primary

Addresses

Primary practice location

1730 Dickerson Blvd Ste D
Monroe, NC 28110-2884

Mailing address

8113 Prescott Glen Pkwy
Waxhaw, NC 28173-6930
Phone (704) 839-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501001378 NC Practitioner - Physical Therapist in Private Practice 4981946589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Center,LLCGroup PAC ID 6901959188, 7 clinicians

Practice addresses (Care Compare)

1730 Dickerson Blvd
Suite D
Monroe, NC 28110-2884
Phone (704) 283-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18600NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center,LLC Physical Therapist CurrentSince Mar 11, 2019 Accepting new patients
Orthocarolina Physical Therapist Past Accepting new patients

Locations

1352 Matthews Township Pkwy
Ste 102
Matthews, NC 28105
Phone (704) 847-5351

1730 Dickerson Blvd
Ste D
Monroe, NC 28110
Phone (704) 283-6700

105 Waxhaw Professional Park Dr
Ste B
Waxhaw, NC 28173
Phone (704) 610-5024

Organizations & group practices 2

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1700344504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 PRESCOTT GLEN PKWY",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736930",
            "telephone_number": "704-839-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 DICKERSON BLVD STE D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102884",
            "telephone_number": "704-283-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARWATER",
        "first_name": "CASEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.