Individual provider Active NPI

Cassandra Poehler, PT, DPT

  • Physical Therapist
  • Waukesha, WI
National Provider Identifier
1104616069
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17300-24 Issued in WI
Practice address
725 American Ave
Waukesha, WI 53188-5031
Phone
(262) 928-8830
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17300-24 WI Primary

Addresses

Primary practice location

725 American Ave
Waukesha, WI 53188-5031

Mailing address

1230 Links CT Apt 1
Brookfield, WI 53005-6929

Other practice location 1

195 Discovery Dr
Brookfield, WI 53045-2862
Phone (252) 928-8830

Other practice location 2

2900 Golf Rd # 3
Pewaukee, WI 53072-5449
Phone (262) 928-8830

Other practice location 3

717 W Moreland Blvd
Waukesha, WI 53188-2432
Phone (262) 928-8830

Other practice location 4

2130 Big Bend Rd
Waukesha, WI 53189-7624
Phone (262) 928-8830

Other practice location 5

17280 W North Ave
Brookfield, WI 53045-4366
Phone (262) 928-8830

Other practice location 6

13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-8830

Other practice location 7

S69W15636 Janesville Rd
Muskego, WI 53150-9330
Phone (262) 928-8830

Other practice location 8

1500 Walnut Ridge Dr
Hartland, WI 53029-9317
Phone (262) 928-8830

Other practice location 9

808 Cornerstone Ct
Waterford, WI 53185-1503
Phone (262) 928-8830

Other practice location 10

240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 928-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616002620 WI Practitioner - Physical Therapist in Private Practice 1850802935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17300-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Jun 1, 2025 Accepting new patients

Locations

17280 W North Ave
Brookfield, WI 53045
Phone (262) 780-0707

195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100

1500 Walnut Ridge Dr
Hartland, WI 53029
Phone (262) 513-7500

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

S69W15636 Janesville Rd
Muskego, WI 53150
Phone (262) 513-7000

13900 W National Ave
New Berlin, WI 53151
Phone (262) 928-4500

13900 W National Ave
Ste 200
New Berlin, WI 53151
Phone (262) 928-4569

2900 Golf Rd
#3
Pewaukee, WI 53072
Phone (262) 395-4141

808 Cornerstone Ct
Waterford, WI 53185
Phone (262) 928-1977

717 W Moreland Blvd
Waukesha, WI 53188
Phone (262) 542-9100

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

2130 Big Bend Rd
Waukesha, WI 53189
Phone (262) 928-7555

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Organizations & group practices 2

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1104616069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 LINKS CT APT 1",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885031",
            "telephone_number": "262-928-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Discovery Dr",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530452862",
            "country_code": "US",
            "telephone_number": "252-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Golf Rd # 3",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530725449",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 W Moreland Blvd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531882432",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Big Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531897624",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17280 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530454366",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13900 W National Ave",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531519515",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "S69W15636 Janesville Rd",
            "address_purpose": "LOCATION",
            "city": "Muskego",
            "state": "WI",
            "postal_code": "531509330",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Walnut Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Hartland",
            "state": "WI",
            "postal_code": "530299317",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 Cornerstone Ct",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "WI",
            "postal_code": "531851503",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Mukwonago",
            "state": "WI",
            "postal_code": "531498475",
            "country_code": "US",
            "telephone_number": "262-928-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POEHLER",
        "first_name": "CASSANDRA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17300-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.