Individual provider Active NPI

Casey Jack Base, PT, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1982599304
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP045107T Issued in TX
Practice address
4347 W Northwest Hwy Ste 180
Dallas, TX 75220-3863
Phone
(214) 654-0947
NPI assigned
Jun 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 CP045107T TX Primary

Addresses

Primary practice location

4347 W Northwest Hwy Ste 180
Dallas, TX 75220-3863

Mailing address

14650 Landmark Blvd Apt 1144
Dallas, TX 75254-6897
Phone (918) 710-1880

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CP045107TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor Institute for Rehabilitation PastSince Jun 15, 2025 Accepting new patients
Bir JV LLP PastSince Jun 15, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1982599304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 LANDMARK BLVD APT 1144",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546897",
            "telephone_number": "918-710-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 W NORTHWEST HWY STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752203863",
            "telephone_number": "214-654-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASE",
        "first_name": "CASEY",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP045107T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.