Casey J Stieren, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-018157 Issued in IL

Practice address

1505 Eastland Dr BLDG C
Bloomington, IL 61701

Phone

(309) 662-2278

Fax

(309) 663-2956

NPI assigned

Oct 14, 2010

Last updated

May 29, 2018By 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 2

Addresses

Other identifiers 2

Other names 1

• Casey J Devries Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Physical Therapy, LLC

  dba ApexNetwork Physical Therapy

  • Specialist
  • Highland, IL
  • NPI 1033166061

  Physical Therapist

  NPD (past)
• Apex Physical Therapy, LLC

  dba ApexNetwork Physical Therapy

  • Physical Therapy Clinic/Center
  • Centerton, AR
  • NPI 1710732607

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1811207665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR BLDG C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-662-2278",
            "fax_number": "309-663-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR BLDG C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61701",
            "telephone_number": "309-662-2278",
            "fax_number": "309-663-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEREN",
        "first_name": "CASEY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10619",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-018157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE NO",
            "identifier": "070-018157",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "898676",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "DEVRIES",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorin Christin Stelly, M.ED. LCPC
• Kerry Rae Stephens, LCSW
• Madelyn J Stevens
• Michael Jonathan Stevens, PHD
• Serina Stevenson
• Jacob E Stimmel
• Chris Stipher
• Amy J Stites, PA-C
• Mark Stivers, M.D.
• Nicole A Stockburger

• Physical Therapist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.