Casandra L Hart

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5202 Issued in OR

Practice address

240 Phelps St
Silverton, OR 97381-1927

Phone

(503) 873-1647

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Casandra L Shadle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Providence Silverton Rehab LLC

  • Physical Therapy Clinic/Center
  • Woodburn, OR
  • NPI 1619172780
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043372998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3290",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PHELPS ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811927",
            "telephone_number": "503-873-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "CASANDRA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASANDRA",
            "last_name": "SHADLE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan M Hamm
• Leonard Hamm, MD
• Arlene M Harris, PT
• Cynthia McIntyre Harris, MD
• Daniel K Harris, MD
• Liska L Havel, MD/MPH
• Michelle Hawks
• Healing Horizons Counseling LLC
• Michael G Hebert, CRNA
• Nicholas M Hedden, CRNA

• Physical Therapist in Silverton, OR
• Providers in Silverton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.