Casey Waller (NPI# 1659926301, PAC ID# 4587995006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1659926301 |
| PAC ID by PECOS | 4587995006 |
| Professional Enrollment ID | I20191015002579 |
| Full Name | Casey Waller |
| Organization Legal Name | FUNCTION FOR LIFE PHYSICAL THERAPY INC |
| Address |
2719 Loker Ave W Suite A Carlsbad CA 92010-6679 |
| Phone Number | 7609189200 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3678758489 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 | 7609189200 | FUNCTION FOR LIFE PHYSICAL THERAPY INC |
| 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 | 6195019037 | FUNCTION FOR LIFE PHYSICAL THERAPY INC |
| Organization Legal Name | FUNCTION FOR LIFE PHYSICAL THERAPY INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey D Thompson | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Cheng Hao Joseph Chen | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Andrew Joseph Pavlov | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Kristen May Lopez | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Meghan Zwahlen | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Ross Montgomery Edmunds | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Megan D Waller | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Brett Bloom | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Tanner J Crass | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Kaylee T. Dang | Physical Therapy | Function for Life Physical Therapy Inc | 4635 Mission Gorge Pl, Suite B, San Diego, CA 92120-4145 |
| Street Address |
2719 LOKER AVE W SUITE A |
| City | CARLSBAD |
| State | CA |
| Zip | 92010-6679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey D Thompson | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Andrew Joseph Pavlov | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Kristen May Lopez | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Meghan Zwahlen | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Ross Montgomery Edmunds | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Megan D Waller | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Brett Bloom | Physical Therapy | Function for Life Physical Therapy Inc | 2719 Loker Ave W, Suite A, Carlsbad, CA 92010-6679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David F Marsh | Physical Therapy | 2758 Victoria Ave, Carlsbad, CA 92010-2191 | |
| Mark Sendar | Family Medicine | 3732 Strata Dr, Carlsbad, CA 92010-5503 | |
| Terri B Kraus | Physical Therapy | 3222 Grey Hawk Ct, Carlsbad, CA 92010-6651 | |
| Jannell F Henderson | Diagnostic Radiology | Pontchartrain Diagnostic Imaging LLC | 3585 Gorge Pl, Carlsbad, CA 92010-7083 |
| Kimberly J Burkholz | Diagnostic Radiology | Advanced Radiology Pa | 3585 Gorge Pl, Carlsbad, CA 92010-7083 |
| Patricia Mauro | Psychologist, Clinical | 5524 Foxtail Loop, Carlsbad, CA 92010-7151 | |
| Teresa A Deroo | Diagnostic Radiology | Advanced Radiology Pa | 5456 Wolverine Ter, Carlsbad, CA 92010-7159 |
| Robin A Dushkin | Occupational Therapy | San Dieguito Orthopedic Medical Center P C | 2451 Impala Dr, Carlsbad, CA 92010-7227 |
| Susan L Croke | Physical Therapy | San Dieguito Orthopedic Medical Center P C | 2451 Impala Dr, Carlsbad, CA 92010-7227 |
| Gregory J Loren | Orthopedic Surgery | San Dieguito Orthopedic Medical Center P C | 2451 Impala Dr, Carlsbad, CA 92010-7227 |
| Find all physicians in zip 92010 | |||
| City | CARLSBAD |
| Zip Code | 92010 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CARLSBAD + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.