Cassandra Young, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1306320 Issued in TX

Practice address

2835 N Grandview Blvd
Suite 100
Pewaukee, WI 53072-5546

Phone

(262) 574-1100

Fax

(262) 574-5193

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1396196424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E FM 2410 RD",
            "address_2": "STE D",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486898",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD",
            "address_2": "SUITE 100",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725546",
            "telephone_number": "262-574-1100",
            "fax_number": "262-574-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CASSANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1306320",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13469-024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Wood
• Dannielle Patricia Wunderlich, DPT
• Sarah Wutke
• Leng Xiong, DPM
• Mary K. Yellick, APNP
• McKenna Rae Young, OD
• Bailey Youngblade, DDS
• Andrea Zabel, DNP
• Alexander Daniel Zacharias
• Jodi A Zelinger, R.N.

• Physical Therapist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.