| Casey Roark, PT, DPT | |
|
4833 Berewick Town Center Dr Ste H, Charlotte, NC 28278-6721 | |
| (980) 880-6780 | |
| Not Available |
| Full Name | Casey Roark |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 4833 Berewick Town Center Dr Ste H, Charlotte, North Carolina |
| 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 |
|---|---|---|---|
| 1730887910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11765 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | P21928 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivyrehab Focus, Inc. | 5890851406 | 36 |
| Provider Name | Ivyrehab Focus, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518105279 PECOS PAC ID: 5890851406 Enrollment ID: O20090306000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Roark, PT, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: () - | Casey Roark, PT, DPT 4833 Berewick Town Center Dr Ste H, Charlotte, NC 28278-6721 Ph: (980) 880-6780 |
Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000 | |
Jessica Huschart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382 | |
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409 | |
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019 | |
Gelt Haridhas Pushpa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737 | |
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500 | |
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897 |