Active NPI
Cassi L Mayle, DPT
- Physical Therapist
- Redlands, CA
National Provider Identifier
1205291093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43544
- Practice address
- 245 Terracina Blvd
Redlands, CA 92373-4852 - Phone
- (909) 792-2605
- NPI assigned
- Dec 21, 2015
- Last updated
- Oct 18, 2019
- 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 | 43544 | CA | Primary |
Addresses
Primary practice location
245 Terracina Blvd
Redlands, CA 92373-4852
Mailing address
PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 335-4188
Other practice location 1
10020 Indiana Ave
Suite 4
Riverside, CA 92503-5477
Phone (951) 637-2320
Other names 1
- Cassi L Sommerville
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1205291093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10069",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230069",
"telephone_number": "909-335-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 TERRACINA BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734852",
"telephone_number": "909-792-2605"
}
],
"practiceLocations": [
{
"address_1": "10020 Indiana Ave",
"address_2": "Suite 4",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925035477",
"country_code": "US",
"telephone_number": "951-637-2320",
"fax_number": "951-637-2321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYLE",
"first_name": "CASSI",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSI",
"last_name": "SOMMERVILLE",
"middle_name": "L",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.