Individual provider Active NPI

Cassidy Devine, PT DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1376220996
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33066 Issued in AZ
Practice address
3970 E Riggs Rd Ste 1
Chandler, AZ 85249-5412
Phone
(480) 883-0202
Fax
(480) 883-0303
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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-33066 AZ Primary

Addresses

Primary practice location

3970 E Riggs Rd Ste 1
Chandler, AZ 85249-5412

Mailing address

3970 E Riggs Rd Ste 1
Chandler, AZ 85249-5412
Phone (480) 883-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017002855 AZ Practitioner - Physical Medicine and Rehabilitation 2062867633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Ignite Physical Therapy PLCGroup PAC ID 9931339041, 7 clinicians

Practice addresses (Care Compare)

3970 E Riggs Rd
Suite 1
Chandler, AZ 85249-5412
Phone (480) 883-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Physical Therapy PLC Physical Therapist CurrentSince Sep 22, 2023 Accepting new patients
Ignite Physical Therapy and Wellness Physical Therapist CurrentSince Jul 9, 2023 Accepting new patients

Locations

3970 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 883-0202

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1376220996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-883-0202",
            "fax_number": "480-883-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-883-0202",
            "fax_number": "480-883-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "CASSIDY",
        "name_prefix": "Ms.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.