MEDICARE: CASADY L DOWNEY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1406744	TX

General Provider Information

NPI Number	:	1730072463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASADY L DOWNEY DPT

Provider Business Mailing Address
First Line	:	PO BOX 2650
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-8607
Country	:	US
Telephone Number	:	972-724-2400
Fax Number	:	972-724-2495

Provider Business Practice Location Address
First Line	:	4501 HERITAGE TRACE PKWY STE 121
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-8941
Country	:	US
Telephone Number	:	817-379-1400
Fax Number	:	817-379-1404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

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