Casey Blackwelder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11587 Issued in TN

Practice address

6688 Nolensville Rd Ste 112
Brentwood, TN 37027-8861

Phone

(615) 933-5150

Fax

(615) 933-5151

NPI assigned

May 7, 2018

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1790274587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6688 NOLENSVILLE RD STE 112",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278861",
            "telephone_number": "615-933-5150",
            "fax_number": "615-933-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Mallory Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "37067",
            "country_code": "US",
            "telephone_number": "615-771-0134",
            "fax_number": "615-771-8816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Mallory Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "37067",
            "country_code": "US",
            "telephone_number": "615-771-0134",
            "fax_number": "615-771-8816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELDER",
        "first_name": "CASEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.