Jared Kenneth Casazza, PT | |
872 Prices Fork Rd, Blacksburg, VA 24060-3229 | |
(407) 392-1615 | |
Not Available |
Full Name | Jared Kenneth Casazza |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 872 Prices Fork Rd, Blacksburg, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932657798 | NPI | - | NPPES |
2305209489 | Other | VA | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P16639 (North Carolina) | Secondary |
225100000X | Physical Therapist | 2305209489 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Provider Name | Tidewater Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Provider Name | Ivyrehab Sept, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799 |
Mailing Address | Practice Location Address |
---|---|
Jared Kenneth Casazza, PT 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 Ph: (910) 484-2171 | Jared Kenneth Casazza, PT 872 Prices Fork Rd, Blacksburg, VA 24060-3229 Ph: (407) 392-1615 |
Jane Everett Vitak, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St Ste 801, Blacksburg, VA 24060 Phone: 540-951-2703 | |
Jordan Nelson Gibson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 872 Prices Fork Rd, Blacksburg, VA 24060 Phone: 540-739-2161 Fax: 540-739-7477 | |
Sarah Kosik, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2387 Warm Hearth Dr, Blacksburg, VA 24060 Phone: 540-443-3437 | |
Dr. Casey Alyson Foley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 825 Davis St Ste B, Blacksburg, VA 24060 Phone: 540-552-5100 Fax: 540-552-5700 | |
Michael A Tatman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St Ste 801, Blacksburg, VA 24060 Phone: 540-951-2703 Fax: 540-953-0873 | |
Mrs. Cynthia Leigh Henderson, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1995 S Main St, Suite 801, Blacksburg, VA 24060 Phone: 540-951-2703 Fax: 540-953-0873 | |
Miracle Halei Barnes, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 757 University Blvd, Blacksburg, VA 24060 Phone: 540-585-4841 |