Cassandra Wise, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012121A Issued in IN

Practice address

1675 N National Rd
Columbus, IN 47201-5501

Phone

(812) 799-1257

Fax

(812) 799-1258

NPI assigned

Aug 20, 2016

Last updated

Jan 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cassandra Blackburn Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Physical Therapy, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  Medicare reassignment NPD
• Advanced Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1700595089

  Physical Therapist

  NPD
• Advanced Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, IN
  • NPI 1942892997

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1215482120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N NATIONAL RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015501",
            "telephone_number": "812-799-1257",
            "fax_number": "812-799-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "CASSANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012121A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "BLACKBURN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Lynn Wilson, LMHCA
• Sean McFerran Wilson, MD
• John P Winikates, M.D.
• April Winters, RBT
• Ralph L Wischmeyer, M.D.
• Amy Wissinger
• Witham Memorial Hospital (Willow Crossing Health and Rehabilitation Center)
• Hannah Withycombe
• Rena Denice Wodecki, MS, CCC-SLP
• Robert David Woodruff, O.D.

• Physical Therapist in Columbus, IN
• Providers in Columbus, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.