Individual provider Active NPI

Cassidy Christine Reinartz, DPT

  • Physical Therapist
  • Fairbanks, AK
National Provider Identifier
1245924984
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
206140 Issued in AK
Practice address
3677 College Rd Ste 13
Fairbanks, AK 99709-3732
Phone
(907) 479-3800
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 206140 AK Primary

Addresses

Primary practice location

3677 College Rd Ste 13
Fairbanks, AK 99709-3732

Mailing address

3677 College Rd Ste 13
Fairbanks, AK 99709-3732
Phone (907) 479-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230622001607 AK Practitioner - Physical Therapist in Private Practice 0345608469
I20241105000559 MN Practitioner - Physical Therapist in Private Practice 0345608469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
206140AKMDPhysical Therapist
13712MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tria Orthopaedic Center LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Tria Orthopaedic Center LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Park Nicollet Clinic CurrentSince Nov 18, 2024 Accepting new patients
Park Nicollet Clinic CurrentSince Nov 18, 2024 Accepting new patients
Park Nicollet Clinic Past Accepting new patients

Locations

14451 Grand Ave S
Burnsville, MN 55306
Phone (701) 441-9496

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1245924984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 COLLEGE RD STE 13",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093732",
            "telephone_number": "907-479-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 COLLEGE RD STE 13",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093732",
            "telephone_number": "907-479-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINARTZ",
        "first_name": "CASSIDY",
        "middle_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "206140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.