| 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 Therapist |
| Location | 872 Prices Fork Rd, Blacksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| 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 |
Tuck Chiropractic Corporation Physical Therapist Medicare: Medicare Enrolled Practice Location: 620 N Main St Ste 203, Blacksburg, VA 24060 Phone: 540-951-6900 Fax: 540-951-1202 | |
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 N Gibson, DPT 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: Not Enrolled in Medicare Practice Location: 2387 Warm Hearth Dr, Blacksburg, VA 24060 Phone: 540-443-3437 | |
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: Accepting Medicare Assignments Practice Location: 757 University Blvd, Blacksburg, VA 24060 Phone: 540-585-4841 |