Individual provider Active NPI

Cassidy Elizabeth Rossman, OTD, OTR/L

  • Occupational Therapist
  • Sumter, SC
National Provider Identifier
1154910321
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6070 Issued in SC
Practice address
3386 Yampa St
Sumter, SC 29150-2045
Phone
(803) 233-4505
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6070 SC Primary

Addresses

Primary practice location

3386 Yampa St
Sumter, SC 29150-2045

Mailing address

3851 Commercial Center Dr
Ladson, SC 29456-4146
Phone (843) 314-5434

Other practice location 1

3851 Commercial Center Dr
Ladson, SC 29456-4146
Phone (843) 314-5434

Other names 1

  • Cassidy Elizabeth Horodeczny Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726000131 SC Practitioner - Occupational Therapist in Private Practice 4789065533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6070SCMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Occupational Therapist CurrentSince Oct 9, 2023 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Oct 9, 2023 Accepting new patients
Foundation Health Systems LLC Occupational Therapist Past Accepting new patients
Tri-County Therapy, LLC Occupational Therapist PastSince Jan 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

9512 Dorchester Rd
Ste 140
Summerville, SC 29485
Phone (843) 695-7970

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1154910321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 COMMERCIAL CENTER DR",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564146",
            "telephone_number": "843-314-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 YAMPA ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502045",
            "telephone_number": "803-233-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Commercial Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "294564146",
            "country_code": "US",
            "telephone_number": "843-314-5434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "CASSIDY",
        "middle_name": "ELIZABETH",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "HORODECZNY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.