Individual provider Active NPI

Casandra Schmidt, DPT

  • Physical Therapist
  • Chester, VA
National Provider Identifier
1538786454
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215909 Issued in VA
Practice address
3509 Festival Park PLZ
Chester, VA 23831-4449
Phone
(804) 946-1250
Fax
(804) 510-2252
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501019573 MI
Physical Therapist 225100000X 2305215909 VA Primary

Addresses

Primary practice location

3509 Festival Park PLZ
Chester, VA 23831-4449

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (142) 944-0509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201021001873 MI Practitioner - Physical Therapist in Private Practice 3173943602 Reassigns benefits to 1 organization
I20240828001731 AL Practitioner - Physical Therapist in Private Practice 3173943602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sixfourthree, LLCGroup PAC ID 7719957976, 47 clinicians

Practice addresses (Care Compare)

4240 Balmoral Dr SW
Suite 100
Huntsville, AL 35801-5633
Phone (256) 883-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215909VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sixfourthree, LLC CurrentSince Jul 8, 2024 Accepting new patients
Marquette Rehabilitation & Sports Medicine Center Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
Therafit, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Sixfourthree, LLC Current Accepting new patients
Sixfourthree, LLC CurrentSince Jul 8, 2024 Accepting new patients

Locations

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

1455 W Fair Ave
Marquette, MI 49855
Phone (906) 226-0574

Organizations & group practices 5

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1538786454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "142-944-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 FESTIVAL PARK PLZ",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314449",
            "telephone_number": "804-946-1250",
            "fax_number": "804-510-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "CASANDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019573",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.