Individual provider Active NPI

Tammy Kay Cassa, D.C., CME

  • Chiropractor
  • Erie, PA
National Provider Identifier
1003119397
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 010744 Issued in PA
Practice address
4510 Peach St
Erie, PA 16509-1369
Phone
(814) 923-6024
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 30986 CA
Chiropractor 111N00000X DC 010744 PA Primary

Addresses

Primary practice location

4510 Peach St
Erie, PA 16509-1369

Mailing address

4510 Peach St
Erie, PA 16509-1369
Phone (814) 923-6024

Other identifiers 1

IdentifierTypeStateIssuer
340459OtherPAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417000157 PA Practitioner - Chiropractic 1658503099 Practice locations: Erie, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 30986CAMDChiropractor
DC 010744PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cassa Family Chiropractic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1003119397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091369",
            "telephone_number": "814-923-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091369",
            "telephone_number": "814-923-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSA",
        "first_name": "TAMMY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C., CME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30986",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 010744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "340459",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.