Provider Demographics
NPI:1851783070
Name:SPRUNG, CASEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:SPRUNG
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:ABRAMSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:766 METZGAR RD
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-8334
Mailing Address - Country:US
Mailing Address - Phone:631-338-7410
Mailing Address - Fax:
Practice Address - Street 1:120 BURRUS BLVD
Practice Address - Street 2:
Practice Address - City:BRODHEADSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18322-7812
Practice Address - Country:US
Practice Address - Phone:313-387-4106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0313792251P0200X
NY03867212251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT031379OtherPT LICENSE