Individual provider Active NPI

Cassandra May, DPT

  • Physical Therapist
  • Piedmont, CA
National Provider Identifier
1225709199
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300802 Issued in CA
Practice address
460 Boulevard Way Ste 2D
Piedmont, CA 94610-1563
Phone
(510) 922-8872
Fax
(510) 291-2820
NPI assigned
Sep 21, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 300802 CA Primary

Addresses

Primary practice location

460 Boulevard Way Ste 2D
Piedmont, CA 94610-1563

Mailing address

1427 Grant Ave
Novato, CA 94945-3118
Phone (415) 895-1705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526001835 CA Practitioner - Physical Therapist in Private Practice 9931587318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Physical Therapy PCGroup PAC ID 6406022078, 18 clinicians

Practice addresses (Care Compare)

460 Boulevard Way
Suite 2D
Piedmont, CA 94610-1563
Phone (510) 922-8872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300802CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Physical Therapy PC Physical Therapist CurrentSince Feb 17, 2022 Accepting new patients

Locations

591 Redwood Hwy Frontage Rd
Ste 2235
Mill Valley, CA 94941
Phone (415) 381-8707

1427 Grant Ave
Novato, CA 94945
Phone (415) 275-2377

460 Boulevard Way
Ste 2D
Piedmont, CA 94610
Phone (510) 922-8872

659 Commercial St
Ste 101
San Francisco, CA 94111
Phone (415) 904-8707

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1225709199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453118",
            "telephone_number": "415-895-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BOULEVARD WAY STE 2D",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101563",
            "telephone_number": "510-922-8872",
            "fax_number": "510-291-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "CASSANDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.