Active NPI
Casey Levin
- Physical Therapist
- Fruita, CO
National Provider Identifier
1861838591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9240
- Practice address
- 300 W Ottley Ave
Fruita, CO 81521-2118 - Phone
- (970) 858-2147
- NPI assigned
- May 21, 2013
- Last updated
- Sep 11, 2023
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 9240 | MN | Primary |
Addresses
Primary practice location
300 W Ottley Ave
Fruita, CO 81521-2118
Mailing address
5535 S Williamson Blvd
Suite 774
Port Orange, FL 32128-8311
Phone (386) 756-4395
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9240 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kowalick LLC | Physical Therapist | Current | Accepting new patients |
Locations
1585 Mid Valley Dr
Ste 3
Steamboat Springs, CO 80487
Phone (970) 879-8026
Organizations & group practices 1
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.
-
dba Kinetic Energy Physical Therapy
- Physical Therapist
- Steamboat Springs, CO
- NPI 1700653839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1861838591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 S WILLIAMSON BLVD",
"address_2": "SUITE 774",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321288311",
"telephone_number": "386-756-4395",
"fax_number": "386-944-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W OTTLEY AVE",
"city": "FRUITA",
"state": "CO",
"postal_code": "815212118",
"telephone_number": "970-858-2147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "CASEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fruita, CO
- Holly D Krouse, RD
- Jon Lafonte, BA. PSY
- David P Lange, MD
- Carmen L. Lastine, D.V.M.
- Marjorie Leon, PHD
- Rebecca Levin, MD
- Lower Valley Fire Protection District
- Lower Valley Fire Protection District
- Lower Valley Hospital Association
- Lower Valley Hospital Association (Family Health West Durable Medical Equipment)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.