Cassandra D Bennett, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR-767 Issued in WY

Practice address

317 N Faler Ave
Pinedale, WY 82941

Phone

(307) 367-6236

Fax

(307) 367-3332

NPI assigned

Oct 1, 2009

Last updated

Nov 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Physical Therapy PCGroup PAC ID 0648171462, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Proactive Physical Therapy PC

  dba Proactive Rehabilitation

  • Physical Therapist
  • Pinedale, WY
  • NPI 1184814345

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1336473743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1037",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829411037",
            "telephone_number": "307-367-6236",
            "fax_number": "307-367-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N FALER AVE",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "82941",
            "telephone_number": "307-367-6236",
            "fax_number": "307-367-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CASSANDRA",
        "middle_name": "D",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 307 Air Medical Transportation, LLC
• Aerie Behavioral Services, LLC
• Apogee Medical Group Wyoming PC
• Alison Applin
• Katie Barngrover
• Julia Haskell Bloom, DNP FNP
• Blum Integrative Psychotherapy, LLC
• Earl Brown Jr., BS,MPA
• Stephanie Megan Bruce, P.T.
• Emily Burstad, OTD

• Occupational Therapist in Pinedale, WY
• Providers in Pinedale, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.