Individual provider Active NPI

Casey Masek, DPT

  • Orthopedic Physical Therapist
  • Novi, MI
National Provider Identifier
1992165344
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501017602 Issued in MI
Practice address
26750 Providence Pkwy Ste 200
Novi, MI 48374-1212
Phone
(866) 974-2673
NPI assigned
Feb 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501017602 MI Primary

Addresses

Primary practice location

26750 Providence Pkwy Ste 200
Novi, MI 48374-1212

Mailing address

3905 Percy King Rd
Waterford, MI 48329-1369
Phone (248) 978-4905

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
5501017602MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical X-Ray Consultants, LTD Past Accepting new patients

Organizations & group practices 1

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": "1456617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1992165344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 PERCY KING RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291369",
            "telephone_number": "248-978-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741212",
            "telephone_number": "866-974-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASEK",
        "first_name": "CASEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-28",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501017602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.