Active NPI
Casandra Lynn Wysochanski, PTA
- Physical Therapy Assistant
- North Ridgeville, OH
National Provider Identifier
1386917847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8807
- Practice address
- 37307 Center Ridge Rd
North Ridgeville, OH 44039-2809 - Phone
- (440) 865-0580
- NPI assigned
- Feb 14, 2012
- Last updated
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA07550 | OH | |
| Physical Therapy Assistant | 225200000X | 9681APTA | AZ | |
| Physical Therapy Assistant | 225200000X | 8807 | OR | Primary |
| Physical Therapy Assistant | 225200000X | TE009494 | PA |
Addresses
Primary practice location
37307 Center Ridge Rd
North Ridgeville, OH 44039-2809
Mailing address
37307 Center Ridge Rd
North Ridgeville, OH 44039-2809
Phone (440) 865-0580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9681APTA | AZ | MD | Physical Therapy Assistant |
| PTA07550 | OH | MD | Physical Therapy Assistant |
| 8807 | OR | MD | Physical Therapy Assistant |
| TE009494 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1386917847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37307 CENTER RIDGE RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440392809",
"telephone_number": "440-865-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37307 CENTER RIDGE RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440392809",
"telephone_number": "440-865-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYSOCHANSKI",
"first_name": "CASANDRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA07550",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "9681APTA",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "8807",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE009494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Ridgeville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.