Cassidy Nicole Raibert, PT, DPT, NCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005080 Issued in KY

Practice address

4603 Timberwalk CT
La Grange, KY 40031-6746

Phone

(703) 864-6695

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ascb Therapy LLC

  • Speech-Language Pathologist
  • La Grange, KY
  • NPI 1508277864

  Physical Therapist

  NPD

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1104307172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 MEADOW RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183780",
            "telephone_number": "859-312-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 TIMBERWALK CT",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400316746",
            "telephone_number": "703-864-6695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7229 Meadow Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402183780",
            "country_code": "US",
            "telephone_number": "859-312-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIBERT",
        "first_name": "CASSIDY",
        "middle_name": "NICOLE",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prorehab Louisville, LLC
• Shelby Pryor
• Jake Puckett, PT, DPT
• Paula Faye Rabbeth, OT
• Angela Ann Rabeneck, OTR/L
• Emily Rae Rankin, SLP
• Cassidy Layne Ratliff
• William Ray Reed, D.C., PH.D.
• Megan J Regal, APRN
• Resilient Life Care, LLC

• Physical Therapist in La Grange, KY
• Providers in La Grange, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.