Jennifer L Casey, DPT
Individual provider Active NPI Physical Therapist · Mesa, WA
NPI 1871502971 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871502971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00008575 (WA)
- Practice address
- 1051 Olympia Dr
Mesa, WA 99343-9676 - Phone
- (509) 521-9080
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008575 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT for Kids, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00008575 | WA | Yes |
Addresses
Primary practice location
1051 Olympia Dr
Mesa, WA 99343-9676
Mailing address
PO Box 366
Mesa, WA 99343-0366
Phone (509) 521-9080
Other providers in Mesa, WA
- County of Franklin
- Tammy Deery
- Public Hospital Dist 1 Franklin County
- Nathan Southwick
- Tri-Cities Community Health
All providers in Mesa, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.