Active NPI
Jonathan Cassens, CPO, LPO
- Occupational Therapist
- Bryan, TX
National Provider Identifier
1124008990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102390
- Practice address
- 2112 E Villa Maria Rd
Bryan, TX 77802-2542 - Phone
- (979) 731-1985
- Fax
- (979) 776-8447
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 138 | TX | |
| Prosthetist | 224P00000X | 138 | TX | |
| Occupational Therapist | 225X00000X | 102390 | TX | Primary |
Addresses
Primary practice location
2112 E Villa Maria Rd
Bryan, TX 77802-2542
Mailing address
2112 E Villa Maria Rd
Bryan, TX 77802-2542
Phone (979) 731-1985
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPO01811 | Other | BOARD CERTIFICATION, ABC | |
| 515099 | Other | TX | BCBS PROVIDER ID |
| 22102 | Other | TX | SCOTT AND WHITE PROV ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138 | TX | MD | Prosthetist |
| 102390 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Orthotics & Prosthetics, LP | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Bryan, TX
- NPI 1659483725
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124008990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 E VILLA MARIA RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022542",
"telephone_number": "979-731-1985",
"fax_number": "979-776-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 E VILLA MARIA RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022542",
"telephone_number": "979-731-1985",
"fax_number": "979-776-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSENS",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "CPO, LPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "138",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "138",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "102390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFICATION, ABC",
"identifier": "CPO01811",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "515099",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCOTT AND WHITE PROV ID",
"identifier": "22102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.