Individual provider Active NPI

Cassidy Rae Elinski, PT, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1366251712
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-033962 Issued in AZ
Practice address
20801 N Scottsdale Rd Ste 105
Scottsdale, AZ 85255-6487
Phone
(623) 208-7575
NPI assigned
Dec 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-033962 AZ Primary

Addresses

Primary practice location

20801 N Scottsdale Rd Ste 105
Scottsdale, AZ 85255-6487

Mailing address

20801 N Scottsdale Rd Ste 105
Scottsdale, AZ 85255-6487
Phone (623) 208-7575

Other practice location 1

7727 W Deer Valley Rd Ste 210
Peoria, AZ 85382-2120
Phone (623) 208-7575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130002002 AZ Practitioner - Physical Therapist in Private Practice 5092244400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physical Therapy - 2 LLCGroup PAC ID 8123411360, 5 clinicians
Impact Physical Therapy LLCGroup PAC ID 4789978735, 11 clinicians

Practice addresses (Care Compare)

20801 N Scottsdale Rd
Suite 105
Scottsdale, AZ 85255-6487
Phone (623) 208-7575

7727 W Deer Valley Rd
Suite 210
Peoria, AZ 85382-2120
Phone (623) 208-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Impact Physical Therapy - 2 LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

7727 W Deer Valley Rd
Ste 210
Peoria, AZ 85382
Phone (623) 208-7575

20801 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (623) 208-7575

Organizations & group practices 2

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": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1366251712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20801 N SCOTTSDALE RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556487",
            "telephone_number": "623-208-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 N SCOTTSDALE RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556487",
            "telephone_number": "623-208-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7727 W Deer Valley Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822120",
            "country_code": "US",
            "telephone_number": "623-208-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELINSKI",
        "first_name": "CASSIDY",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.