Jared Kenneth Casazza, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209489 Issued in VA

Practice address

872 Prices Fork Rd
Blacksburg, VA 24060-3229

Phone

(407) 392-1615

NPI assigned

Sep 21, 2016

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD
• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  NPD
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD
• Tidewater Physical Therapy, LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Newport News, VA
  • NPI 1669493474
  NPD
• United Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1609888130
  NPD

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1932657798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR",
            "address_2": "SUITE 801",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142563",
            "telephone_number": "910-484-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 PRICES FORK RD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603229",
            "telephone_number": "407-392-1615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 Ferncreek Dr",
            "address_2": "Suite 801",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142563",
            "country_code": "US",
            "telephone_number": "910-484-2171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 Pantops Mountain Pl",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114671",
            "country_code": "US",
            "telephone_number": "434-817-4100",
            "fax_number": "434-817-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASAZZA",
        "first_name": "JARED",
        "middle_name": "KENNETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16639",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "2305209489",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Terrell Carpenter, D.O.
• Sarah A Carrasco, PA
• Laura Stephens Carroll, PHARMACIST
• Ellen Noel Carson, LPC
• Elizabeth Nicole Carter, LCSW
• Jonathan Castro, DO
• Catawba Hospital
• Cawh Rehabilitation Services (CAWH Physical Therapy)
• Center for Cognition, Language & Speech, LLC
• Kristen Chang, MS, RDN

• Physical Therapist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.