Individual provider Active NPI

Cassidy Jameson, PT, DPT

  • Physical Therapist
  • Ardmore, PA
National Provider Identifier
1124796578
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029666 Issued in PA
Practice address
120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209
Phone
(484) 297-6491
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 PT029666 PA Primary

Addresses

Primary practice location

120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209

Mailing address

PO Box 411195
Boston, MA 02241-1195
Phone (914) 294-4050

Other practice location 1

1547 Dekalb St
Norristown, PA 19401-3421
Phone (215) 997-9898

Other practice location 2

110 Ardmore Ave # A
Ardmore, PA 19003-1339
Phone (484) 498-8299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920003352 PA Practitioner - Physical Therapist in Private Practice 0244637163 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

555 E Lancaster Ave
Radnor, PA 19087-5158
Phone (484) 577-8950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029666PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Total Performance Physical Therapy CurrentSince Sep 20, 2021 Accepting new patients

Locations

120 E Lancaster Ave
Ste 205
Ardmore, PA 19003
Phone (484) 297-6491

110 Ardmore Ave
Ste A
Ardmore, PA 19003
Phone (484) 498-8299

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

1547 DeKalb St
Norristown, PA 19401
Phone (215) 997-9898

1501 Lower State Rd
Ste 308
North Wales, PA 19454
Phone (215) 997-9898

555 E Lancaster Ave
Radnor, PA 19087
Phone (267) 507-7572

Organizations & group practices 4

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1124796578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411195",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411195",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LANCASTER AVE STE 205",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033209",
            "telephone_number": "484-297-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1547 Dekalb St",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194013421",
            "country_code": "US",
            "telephone_number": "215-997-9898",
            "fax_number": "215-997-9899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Ardmore Ave # A",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "PA",
            "postal_code": "190031339",
            "country_code": "US",
            "telephone_number": "484-498-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "CASSIDY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.