Active NPI
Cassidy Cardis, DPT
- Physical Therapist
- Bordentown, NJ
National Provider Identifier
1164353686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02420000
- Practice address
- 2144 US Highway 130 Ste 12
Bordentown, NJ 08505-4628 - Phone
- (609) 817-1177
- NPI assigned
- May 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02420000 | NJ | Primary |
Addresses
Primary practice location
2144 US Highway 130 Ste 12
Bordentown, NJ 08505-4628
Mailing address
1006 Van Rossum Ave
Edgewater Park, NJ 08010-1746
Phone (609) 284-7736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2144 Route 130
Suite 12
Bordentown, NJ 08505
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02420000 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1164353686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 VAN ROSSUM AVE",
"city": "EDGEWATER PARK",
"state": "NJ",
"postal_code": "080101746",
"telephone_number": "609-284-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2144 US HIGHWAY 130 STE 12",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085054628",
"telephone_number": "609-817-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDIS",
"first_name": "CASSIDY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-25",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02420000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bordentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.