Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Baczewski, PT

Individual provider Physical Therapist · NPI 1619420080

Casey Baczewski, PT is a Physical Therapist in Private Practice in Williston, Vermont. Graduated from University of Vermont College of Medicine in 2016, 10 years ago. Practices with The Lifestyle Athlete PLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
Trained at
University of Vermont College of Medicine
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

520 Avenue D
Williston, VT 05495-7136
Phone: (802) 399-2318
Fax: (802) 399-2505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16b Morse Dr, Essex Junction, VT 05452-2811 — (802) 399-2318

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1619420080
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 2, 2016
Last updated in NPPESNovember 2, 2024
Certification dateNovember 2, 2024
Mailing addressPo Box 8381, Essex, VT 05451-8381

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice The Lifestyle Athlete Plc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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