Active NPI
Cassandra Juanita Kaiser, D.O.
- Physical Medicine & Rehabilitation Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 325621-01
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (940) 765-9499
- NPI assigned
- May 11, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 83833 | GA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 1021270 | MA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 325621-01 | NY | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | OP61672550 | WA |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
11741 Humberside Dr
Frisco, TX 75035-7794
Phone (940) 765-9499
Other practice location 1
200 NE Mother Joseph Pl Ste 100
Vancouver, WA 98664-3292
Phone (360) 514-3142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10881 US Route 11
Adams, NY 13605-3154
Phone (315) 232-4400
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4646
6511 Spring Brook Ave
Suite 1004
Rhinebeck, NY 12572-3709
Phone (845) 227-6947
830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000
Hospital & facility affiliations
- Bitterroot Health - Daly Hospital
- Logan Health Medical Center
- St. Patrick Hospital
- Community Medical Center
- Rim at Community Medical Center
- The Paul Rosenthal Rehabilitation Center at NDH
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83833 | GA | MD | Physical Medicine & Rehabilitation Physician |
| 1021270 | MA | MD | Physical Medicine & Rehabilitation Physician |
| 325621-01 | NY | MD | Physical Medicine & Rehabilitation Physician |
| OP61672550 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Medical Center | Current | Accepting new patients | |
| Samaritan Medical Center | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
6511 Spring Brook Ave
Ste 1004
Rhinebeck, NY 12572
Phone (845) 871-4275
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
Interoperability endpoints
- ckaiser737122@direct.peacehealth.org
- ckaiser27860@direct.emory.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Specialist
- Missoula, MT
- NPI 1376946913
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
-
- Rehabilitation Hospital Unit
- Watertown, NY
- NPI 1093722068
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Surgical Oncology Physician
- Kalispell, MT
- NPI 1053790063
Hospital
-
- Maternal & Fetal Medicine Physician
- Kalispell, MT
- NPI 1053798710
Hospital
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Kalispell, MT
- NPI 1477989770
Hospital
-
- Hematology & Oncology Physician
- Kalispell, MT
- NPI 1891151122
Hospital
-
- Obstetrics & Gynecology Physician
- Kalispell, MT
- NPI 1972982981
Hospital
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
Inpatient rehabilitation facility
-
- Rehabilitation Hospital Unit
- Rhinebeck, NY
- NPI 1659468833
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1255719324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11741 HUMBERSIDE DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750357794",
"telephone_number": "940-765-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "940-765-9499"
}
],
"practiceLocations": [
{
"address_1": "200 NE Mother Joseph Pl Ste 100",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986643292",
"country_code": "US",
"telephone_number": "360-514-3142",
"fax_number": "360-514-6809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAISER",
"first_name": "CASSANDRA",
"middle_name": "JUANITA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "83833",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "1021270",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "325621-01",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "OP61672550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.