Cassandra Ann Fuller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1570 Issued in WY

Practice address

5310 South Park Drive
Suite 4
Jackson, WY 83002

Phone

(307) 262-6372

Fax

(307) 200-6403

NPI assigned

Jul 20, 2015

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 identifiers 1

Other names 1

• Ms. Cassandra Ann Garcia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fuller Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Jackson, WY
  • NPI 1770341588
  NPD Authorized official
• Excel Physical Therapy, LLC

  • Physical Therapist
  • Jackson, WY
  • NPI 1356414684
  NPD

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1053796003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7811",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830027811",
            "telephone_number": "307-699-7667",
            "fax_number": "307-200-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 SOUTH PARK DRIVE",
            "address_2": "SUITE 4",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83002",
            "telephone_number": "307-262-6372",
            "fax_number": "307-200-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CASSANDRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT1570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING LICENSE",
            "identifier": "PT1570",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "GARCIA",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurt Freischlag, OT
• /Cynthia Ann French, CRNA
• Steven Pirtle French, M.D.
• Jennifer J Fritch, PA
• Fuller Physical Therapy and Wellness, LLC
• Lauren E Furtney, LCSW
• Lynnette Gaertner, LCSW
• Hannah Gage
• Aaron Galbraith, D.M.D
• Courtney A. Gale, LCSW

• Physical Therapist in Jackson, WY
• Providers in Jackson, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.