Active NPI
Ernest Cason, PTA
- Physical Therapy Assistant
- Kalamazoo, MI
National Provider Identifier
1750710893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502001887
- Practice address
- 1701 S 11TH St
Kalamazoo, MI 49009-1775 - Phone
- (269) 375-2020
- Fax
- (269) 375-7990
- NPI assigned
- Nov 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502001887 | MI | Primary |
Addresses
Primary practice location
1701 S 11TH St
Kalamazoo, MI 49009-1775
Mailing address
1701 S. 11TH St.
Kalamazoo, MI 49009
Phone (269) 375-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306893805 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502001887 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1750710893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S. 11TH ST.",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49009",
"telephone_number": "269-375-2020",
"fax_number": "269-375-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S 11TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490091775",
"telephone_number": "269-375-2020",
"fax_number": "269-375-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASON",
"first_name": "ERNEST",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502001887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306893805",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.