Active NPI
Casey Eison, PT
- Physical Therapist
- Clarksville, TN
National Provider Identifier
1881882330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7848
- Practice address
- 331 Landrum PL
Clarksville, TN 37043-6329 - Phone
- (931) 221-9967
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- 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 | 7848 | TN | Primary |
Addresses
Primary practice location
331 Landrum PL
Clarksville, TN 37043-6329
Mailing address
331 Landrum PL
Clarksville, TN 37043-6329
Phone (931) 221-9967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7848 | Other | TN | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1881882330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 LANDRUM PL",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370436329",
"telephone_number": "931-221-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 LANDRUM PL",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370436329",
"telephone_number": "931-221-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISON",
"first_name": "CASEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "7848",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.