Cassandra Thomas Mandeville, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1234316 Issued in TX

Practice address

2301 Coit Rd Ste B
Plano, TX 75075-3773

Phone

(972) 599-9191

Fax

(972) 599-2323

NPI assigned

Aug 13, 2013

Last updated

Oct 2, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glory Days Physical Therapy, LLCGroup PAC ID 3577949049, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Glory Days Physical Therapy, LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1629798657
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1396178422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COIT RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753773",
            "telephone_number": "972-599-9191",
            "fax_number": "972-599-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COIT RD STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753773",
            "telephone_number": "972-599-9191",
            "fax_number": "972-599-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Alliance Blvd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935323",
            "country_code": "US",
            "telephone_number": "469-814-2550",
            "fax_number": "469-814-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDEVILLE",
        "first_name": "CASSANDRA",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1234316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.T. LICENSE",
            "identifier": "1234316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Paul Malone, OD
• Monica Colleen Maloney, CCC-SLP
• Janet Lopez Maltos, LCSW
• Tigi E Manaloor, O.D.
• Prasanthi Manda
• Hunter Mandeville, DPT
• Mane to Tail Therapy of Texas Inc
• Derek Dunn Manelski
• Manes by Madeline LLC
• Deborah Cook Maness, LPC

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.