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

Dr. Casey Waller, PT, DPT

Individual provider Physical Therapist · NPI 1659926301

Dr. Casey Waller, PT, DPT is a Physical Therapist in Private Practice in Carlsbad, California. Qualified in 2019, 7 years ago. Practices with Function for Life Physical Therapy Inc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2719 Loker Ave W Ste A
Carlsbad, CA 92010-6679
Phone: (760) 918-9200
Fax: (760) 918-9203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4725 Market St Bldg A, San Diego, CA 92102-4715 — (619) 515-2560

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 296993 (CA)

Record details

NPI number1659926301
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address1084 N. El Camino Real, B-351, Carlsbad, CA 92010-1334

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Function For Life Physical Therapy Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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