Individual provider Active NPI

Kassandra Jones, PT

  • Physical Therapist
  • West Fargo, ND
National Provider Identifier
1477933265
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1990 Issued in ND
Practice address
1420 9TH St E Ste 401
West Fargo, ND 58078-3381
Phone
(017) 364-2739
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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 1990 ND Primary

Addresses

Primary practice location

1420 9TH St E Ste 401
West Fargo, ND 58078-3381

Mailing address

1420 9TH St E Ste 401
West Fargo, ND 58078-3381
Phone (701) 364-2739

Other identifiers 1

IdentifierTypeStateIssuer
1990OtherNDND STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706002290 ND Practitioner - Physical Therapist in Private Practice 8921354812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy and Wellness Center PCGroup PAC ID 6507926235, 33 clinicians

Practice addresses (Care Compare)

1420 9TH St E
Suite 401
West Fargo, ND 58078-3381
Phone (701) 364-2739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1990NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy and Wellness Center, PC Physical Therapist CurrentSince Jun 18, 2018 Accepting new patients

Locations

4803 38th St S
Ste 102
Fargo, ND 58104
Phone (701) 639-0808

1420 9th St E
Ste 401
West Fargo, ND 58078
Phone (701) 361-2739

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1477933265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 9TH ST E STE 401",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783381",
            "telephone_number": "701-364-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 9TH ST E STE 401",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783381",
            "telephone_number": "017-364-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KASSANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND STATE LICENSE",
            "identifier": "1990",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.