Cassie Mae Mathis, CPO
Individual provider Active NPI Prosthetic/Orthotic Supplier · Freedom, WI
NPI 1255932604 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1255932604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Practice address
- W1643 Greiner Rd
Freedom, WI 54130-7943 - Phone
- (920) 213-3512
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baby Bear Cranial Clinic | Current |
Accepting new patients |
Locations
2535 Northern Rd
Ste B
Appleton, WI 54914
Phone (920) 257-4902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
W1643 Greiner Rd
Freedom, WI 54130-7943
Mailing address
W1643 Greiner Rd
Freedom, WI 54130-7943
Phone (920) 213-3512
Other providers in Freedom, WI
- Marissa Lynn Haug
- Dean Kroening
- Rebecca Lemay
- David Jude Lenz
- Kathleen Ann Linskens
- Angela Merbach
- Crystal Pingel
- Andrea C Schimke
- Aubry Lin Springstroh
- Hilary Van Camp
All providers in Freedom, WI · Prosthetic/Orthotic Supplier in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.