Cassidy Bigley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

12658132-2402 Issued in UT

Practice address

8822 S Redwood Rd Ste E122
West Jordan, UT 84088-9273

Phone

(801) 566-7080

NPI assigned

Feb 16, 2022

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 names 1

• Cassidy Ann Labrum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1144975228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70689",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841700689",
            "telephone_number": "801-987-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8822 S REDWOOD RD STE E122",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889273",
            "telephone_number": "801-566-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGLEY",
        "first_name": "CASSIDY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "12658132-2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "LABRUM",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elisha Nichole Betancourt, CSW
• Better Leaf Medical
• Chrisitan Bryce Betteridge
• Ishan Bhattacharya, MD
• Big H Enterprises LLC
• Glen Craig Bills, DMD, MS
• Shawn Bills, LMFT
• Kyah Bindrup
• Bingham Creek Counseling, Inc.
• Jennie Lyn Bingham, PHD

• Physical Therapy Assistant in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Physical Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.