Individual ProviderCasey ViningOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1950 E 70th St Ste A, Shreveport, LA 71105-5345(318) 219-6064(318) 751-1050PECOS EnrollmentBased on the most recent information from CMS, provider Casey Vining does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1437857380Provider TypeIndividualFull NameVining, CaseyCredentialOTR/LGenderFemaleSole ProprietorNoEnumeration Date2/20/2023Last Updated2/20/2023Contact InformationPractice LocationPractice Address1950 E 70th St Ste A, Shreveport, LA 71105-5345Phone(318) 219-6064FaxUnlisted FaxMailing LocationMailing Address832 Abita Chase, Bossier City, LA 71111-6435Phone(318) 751-1050FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense334891Louisiana