Individual provider Active NPI

Kassandra Lerine, PT, DPT

  • Physical Therapist
  • Oxon Hill, MD
National Provider Identifier
1023761202
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6009 Oxon Hill Rd # C
Oxon Hill, MD 20745-3129
Phone
(301) 965-9260
Fax
(240) 557-1405
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MD
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6009 Oxon Hill Rd # C
Oxon Hill, MD 20745-3129

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240424002671 DC Practitioner - Physical Therapist in Private Practice 9931549961 Reassigns benefits to 1 organization
I20250313000184 NJ Practitioner - Physical Therapist in Private Practice 9931549961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

505 Morris Ave
Suite 103
Springfield, NJ 07081-1032
Phone (973) 379-7006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Feb 25, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Feb 25, 2025 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4740 Cherry Hill Rd
College Park, MD 20740
Phone (240) 965-0999

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

505 Morris Ave
Ste 103
Springfield, NJ 07081
Phone (973) 379-7006

Organizations & group practices 4

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1023761202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 OXON HILL RD # C",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453129",
            "telephone_number": "301-965-9260",
            "fax_number": "240-557-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERINE",
        "first_name": "KASSANDRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.