Individual provider Active NPI

Cassie Smith, DPT

  • Physical Therapist
  • Murrieta, CA
National Provider Identifier
1154755122
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40360 Issued in CA
Practice address
40680 California Oaks Rd
Suite 2a
Murrieta, CA 92562-5753
Phone
(951) 894-4800
Fax
(951) 894-4804
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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 40360 CA Primary

Addresses

Primary practice location

40680 California Oaks Rd
Suite 2a
Murrieta, CA 92562-5753

Mailing address

40680 California Oaks Rd
Suite 2a
Murrieta, CA 92562-5753
Phone (951) 894-4800

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40360CAMDPhysical Therapist
40680CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1154755122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD",
            "address_2": "SUITE 2A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625753",
            "telephone_number": "951-894-4800",
            "fax_number": "951-894-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD",
            "address_2": "SUITE 2A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625753",
            "telephone_number": "951-894-4800",
            "fax_number": "951-894-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASSIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.