Individual provider Active NPI

Cassandra E Stanard, R.P.T

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1174566780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3843 Issued in AL
Practice address
400 Paul Bryant Dr E
Tuscaloosa, AL 35401
Phone
(205) 345-0192
Fax
(205) 247-2194
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PTH3843 AL Primary

Addresses

Primary practice location

400 Paul Bryant Dr E
Tuscaloosa, AL 35401

Mailing address

305 Paul Bryant Dr E
Tuscaloosa, AL 35401-2094
Phone (205) 345-0192

Other identifiers 1

IdentifierTypeStateIssuer
51511945OtherALBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000614 AL Practitioner - Physical Therapist in Private Practice 0941361711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Rehabilitation and Hand Center, IncGroup PAC ID 2860430709, 5 clinicians

Practice addresses (Care Compare)

5690 Watermelon Rd
Suite 100
Northport, AL 35473-5008
Phone (205) 759-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Rehabilitation and Hand Center, Inc Physical Therapist CurrentSince Sep 23, 2008 Accepting new patients
Williams Medical Services, LLC PastSince May 1, 2022 Accepting new patients
The Radiology Clinic LLC Past Accepting new patients
Aptor Inc. Past Accepting new patients
West Alabama Pain Management, LLC Past Accepting new patients
University Orthopaedic Clinic, PC Physical Therapist PastSince Jul 5, 1994 Accepting new patients

Locations

5690 Watermelon Rd
Ste 100
Northport, AL 35473
Phone (205) 759-2211

3835 Watermelon Rd
Ste E
Northport, AL 35473
Phone (205) 331-4903

Organizations & group practices 6

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174566780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PAUL BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012094",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PAUL BRYANT DR E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANARD",
        "first_name": "CASSANDRA",
        "middle_name": "E",
        "credential": "R.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51511945",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.