Individual provider Active NPI

Cassandra Elizabeth Brauch, PTA

  • Physical Therapy Assistant
  • Baltimore, MD
National Provider Identifier
1447645494
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2517 Issued in MD
Practice address
5428 B Sinclair Lane
Northeast Division
Baltimore, MD 21206-4645
Phone
(410) 488-3800
Fax
(410) 488-8424
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2517 MD Primary

Addresses

Primary practice location

5428 B Sinclair Lane
Northeast Division
Baltimore, MD 21206-4645

Mailing address

1120 St. Paul St. Ground Level
St. Paul & Biddle Medical Associates
Baltimore, MD 21202-2685
Phone (410) 685-7790

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

LicenseStateTypeSpecialty
A2517MDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Rehab of Maryland Past Accepting new patients

Organizations & group practices 1

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1447645494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ST. PAUL ST. GROUND LEVEL",
            "address_2": "ST. PAUL & BIDDLE MEDICAL ASSOCIATES",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022685",
            "telephone_number": "410-685-7790",
            "fax_number": "410-682-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 B SINCLAIR LANE",
            "address_2": "NORTHEAST DIVISION",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064645",
            "telephone_number": "410-488-3800",
            "fax_number": "410-488-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUCH",
        "first_name": "CASSANDRA",
        "middle_name": "ELIZABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.