Individual provider Active NPI

Cassandra Williamson, PT

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1306129762
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60943349 Issued in WA
Practice address
1642 Olive Branch Parke LN
Suite 1100
Greenwood, IN 46143-6447
Phone
(317) 882-2550
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05010672A IN
Physical Therapist 225100000X PT60943349 WA Primary

Addresses

Primary practice location

1642 Olive Branch Parke LN
Suite 1100
Greenwood, IN 46143-6447

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Cassandra Jo Erhart Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000568 IN Practitioner - Physical Therapist in Private Practice 3779757018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milestone Physical Therapy and Training LLCGroup PAC ID 4385042035, 6 clinicians

Practice addresses (Care Compare)

3100 Meridian Parke Dr
Suite Uv
Greenwood, IN 46142-9427
Phone (317) 697-9117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05010672AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Physical Therapy and Training LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 23, 2011 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 23, 2011 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

9093 Technology Dr
Fishers, IN 46038

3100 Meridian Parke Dr
Ste Uv
Greenwood, IN 46142
Phone (317) 207-7536

3100 Meridian Parke Dr
Ste U
Greenwood, IN 46142

1642 Olive Branch Parke Ln
Ste 1100
Greenwood, IN 46143
Phone (317) 882-2550

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

Organizations & group practices 3

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": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1306129762",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 OLIVE BRANCH PARKE LN",
            "address_2": "SUITE 1100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436447",
            "telephone_number": "317-882-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "CASSANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010672A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60943349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ERHART",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.