Provider Demographics
| NPI: | 1689338105 |
|---|---|
| Name: | CASA PHYSICAL & OCCUPATIONAL THERAPY PLLC |
| Entity Type: | Organization |
| Organization Name: | CASA PHYSICAL & OCCUPATIONAL THERAPY PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | CHRISTOPHER |
| Authorized Official - Middle Name: | JAI |
| Authorized Official - Last Name: | NAIPAUL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DPT |
| Authorized Official - Phone: | 347-891-6356 |
| Mailing Address - Street 1: | 8727 115TH ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | RICHMOND HILL |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 11418-2410 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 347-891-6356 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 8727 115TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | RICHMOND HILL |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 11418-2410 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 347-891-6356 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-10-30 |
| Last Update Date: | 2021-10-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics | Group - Multi-Specialty |
| No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
| No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
| No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
| No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |
