Individual provider Active NPI

Cassie Dawson, PT,DPT,SCS,ATC,CSCS

  • Sports Physical Therapist
  • Benton, KY
National Provider Identifier
1326336579
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
006265 Issued in KY
Practice address
315 W 5TH St Ste 200
Benton, KY 42025-1152
Phone
(270) 252-7200
Fax
(270) 252-7201
NPI assigned
Jul 20, 2011
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 006265 KY Primary

Addresses

Primary practice location

315 W 5TH St Ste 200
Benton, KY 42025-1152

Mailing address

92 Dawson Lane
None
Benton, KY 42025-8448
Phone (270) 703-4937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017001989 KY Practitioner - Physical Therapist in Private Practice 0941434385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Alabama College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawson Physical Therapy, PLLCGroup PAC ID 6204199540, 2 clinicians

Practice addresses (Care Compare)

315 W 5TH St
Suite 200
Benton, KY 42025-1152
Phone (270) 252-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006265KYMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson Physical Therapy, PLLC Sports CurrentSince May 19, 2017 Accepting new patients
Wendy Sowell Gibson OD PastSince May 27, 1997 Accepting new patients
Paducah Physiatric Partners P.S.C. Past Accepting new patients

Locations

1512 Main St
Benton, KY 42025
Phone (270) 527-0951

315 W 5th St
Ste 200
Benton, KY 42025
Phone (270) 252-7200

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, 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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1326336579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 DAWSON LANE",
            "address_2": "NONE",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420258448",
            "telephone_number": "270-703-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 5TH ST STE 200",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251152",
            "telephone_number": "270-252-7200",
            "fax_number": "270-252-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "CASSIE",
        "credential": "PT,DPT,SCS,ATC,CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "KY",
            "license": "006265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.