Individual provider Active NPI

Cassidy Lynn Wolfe, DPT

  • Physical Therapist
  • Coralville, IA
National Provider Identifier
1508197807
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004503 Issued in IA
Practice address
2431 Coral CT
Coralville, IA 52241-2838
Phone
(319) 545-4104
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 004503 IA Primary

Addresses

Primary practice location

2431 Coral CT
Coralville, IA 52241-2838

Mailing address

2431 Coral CT
Coralville, IA 52241-2838
Phone (319) 545-4104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100226000484 IA Practitioner - Physical Therapist in Private Practice 5698810810 Reassigns benefits to 2 organizations
I20150224001139 MN Practitioner - Physical Therapist in Private Practice 5698810810

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

2166 Blairs Ferry Rd
Hiawatha, IA 52233-7902
Phone (319) 395-6000

4700 Tama St SE
Suite 700
Cedar Rapids, IA 52403-4558
Phone (319) 447-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Nov 17, 2019 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Nov 17, 2019 Accepting new patients
Central Iowa Physio, LLC CurrentSince Nov 17, 2019 Accepting new patients
Central Iowa Physio LLC Physical Therapist CurrentSince Nov 17, 2019 Accepting new patients
Fairmont Orthopedics & Sports Medicine P a PastSince Jan 19, 2015 Accepting new patients

Locations

4700 Tama St SE
Ste 700
Cedar Rapids, IA 52403
Phone (319) 447-0700

2166 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 395-6000

1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800

5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

Organizations & group practices 7

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1508197807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 CORAL CT",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412838",
            "telephone_number": "319-545-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 CORAL CT",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412838",
            "telephone_number": "319-545-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "CASSIDY",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.