Active NPI
Cassondra Dowden
- Physical Therapist
- Poplar Bluff, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2022021424
- Practice address
- 2166 N Westwood Blvd
Poplar Bluff, MO 63901-2440 - Phone
- (573) 712-2696
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT41129 | FL | |
| Physical Therapist | 225100000X | 2022021424 | MO | Primary |
Addresses
Primary practice location
2166 N Westwood Blvd
Poplar Bluff, MO 63901-2440
Mailing address
10465 Highway Af
Mountain Grove, MO 65711-2933
Phone (417) 259-2403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230222001605 | MO | Practitioner - Physical Therapist in Private Practice | 2365815396 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT41129 | FL | MD | Physical Therapist |
| 2022021424 | MO | MD | Physical Therapist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051
109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280
2001 N State Route 7
Ste B
Pleasant Hill, MO 64080
Phone (816) 987-7049
Networks
- Freedom Health HMO Network
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.
-
- Physical Therapist
- Belton, MO
- NPI 1760745244
MO, Physical Therapist
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1457082323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10465 HIGHWAY AF",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657112933",
"telephone_number": "417-259-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2166 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012440",
"telephone_number": "573-712-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWDEN",
"first_name": "CASSONDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT41129",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2022021424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.