Individual provider Active NPI

Carl Bruce Casciere, PT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1912004128
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2067 Issued in NC
Practice address
4140 Ferncreek Dr
Fayetteville, NC 28314-2563
Phone
(910) 486-7081
Fax
(910) 486-7982
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2067 NC Primary

Addresses

Primary practice location

4140 Ferncreek Dr
Fayetteville, NC 28314-2563

Mailing address

4140 Ferncreek Dr
Fayetteville, NC 28314-2563
Phone (910) 486-7081

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

LicenseStateTypeSpecialty
2067NCMDPhysical Therapist
3213SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy, Inc. Physical Therapist PastSince Jul 1, 2002 Accepting new patients
Advanced Brace & Limb PastSince Jun 22, 2010 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1912004128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-486-7081",
            "fax_number": "910-486-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-486-7081",
            "fax_number": "910-486-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCIERE",
        "first_name": "CARL",
        "middle_name": "BRUCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.