Provider Demographics
NPI:1063820157
Name:FOLEY, CASEY ALYSON (DPT)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:ALYSON
Last Name:FOLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:ALYSON
Other - Last Name:KELLOGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450
Mailing Address - Country:US
Mailing Address - Phone:860-799-6320
Mailing Address - Fax:860-799-6621
Practice Address - Street 1:425 S BROAD ST
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450
Practice Address - Country:US
Practice Address - Phone:203-238-1334
Practice Address - Fax:203-238-1351
Is Sole Proprietor?:No
Enumeration Date:2014-08-01
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29479225100000X
CT013958225100000X
VA2305211399225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT29479OtherLICENSE
CT013958OtherCTPTLICENSE
VA2305211399OtherPT LICENSE