Individual provider Active NPI

Cassie Giannouloudis

  • Physical Therapist
  • Bridgewater, MA
National Provider Identifier
1467978296
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23167 Issued in MA
Practice address
75A Scotland Blvd
Bridgewater, MA 02324-2302
Phone
(508) 697-2000
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23167 MA Primary

Addresses

Primary practice location

75A Scotland Blvd
Bridgewater, MA 02324-2302

Mailing address

75A Scotland Blvd
Bridgewater, MA 02324-2302
Phone (508) 697-2000

Other names 1

  • Cassie Angellis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829001007 MA Practitioner - Physical Therapist in Private Practice 1052684982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians
Physical Therapy U IncGroup PAC ID 8123317104, 16 clinicians

Practice addresses (Care Compare)

501 John Mahar Hwy
Suite 100
Braintree, MA 02184-6563
Phone (781) 214-1717

75 A Scotland Blvd
Bridgewater, MA 02324-2302
Phone (508) 697-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23167MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Aug 3, 2017 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

501 John Mahar Hwy
Ste 200
Braintree, MA 02184
Phone (781) 384-0500

501 John Mahar Hwy
Ste 100
Braintree, MA 02184
Phone (781) 214-1717

985 Pleasant St
Ste 2
Bridgewater, MA 02324
Phone (508) 697-2000

75A Scotland Blvd
Bridgewater, MA 02324
Phone (508) 697-2000

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 3

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1467978296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75A SCOTLAND BLVD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242302",
            "telephone_number": "508-697-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75A SCOTLAND BLVD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242302",
            "telephone_number": "508-697-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOULOUDIS",
        "first_name": "CASSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "ANGELLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.