Individual provider Active NPI

Cassandra Woodland, PT, DPT

  • Orthopedic Physical Therapist
  • Waconia, MN
National Provider Identifier
1043753494
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
820 Village Way
Waconia, MN 55387-4612
Phone
(952) 442-2163
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 12702PT AZ
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

820 Village Way
Waconia, MN 55387-4612

Mailing address

9205 Pierson Lake Dr
Chaska, MN 55318-9264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170216002493 AZ Practitioner - Physical Therapist in Private Practice 2567745516 Reassigns benefits to 2 organizations
I20221003000615 MN Practitioner - Physical Therapist in Private Practice 2567745516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

820 Village Way
Suite 100
Waconia, MN 55387-4612
Phone (952) 927-2960

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12702PTAZMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Theracare PLLC Physical Therapist CurrentSince Oct 15, 2019 Accepting new patients
Heartland Therapy, Inc. CurrentSince Oct 15, 2019 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Aug 8, 2022 Accepting new patients
Solace Pediatric Healthcare Therapy Services Az, Inc. Physical Therapist PastSince Jan 1, 1995 Accepting new patients
Pioneer Pet, LLC Past Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004

12982 Valley View Rd
Eden Prairie, MN 55344
Phone (952) 456-7472

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

820 Village Way
Waconia, MN 55387
Phone (952) 442-2160

820 Village Way
Ste 100
Waconia, MN 55387
Phone (952) 927-2960

Organizations & group practices 6

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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1043753494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 PIERSON LAKE DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553189264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 VILLAGE WAY",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874612",
            "telephone_number": "952-442-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLAND",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "12702PT",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.