Kassandra Chrisco

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292736 Issued in CA

Practice address

1460 G St
Arcata, CA 95521-5610

Phone

(707) 822-7400

Fax

(707) 822-2338

NPI assigned

Feb 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• On the Move Rehab

  • Physical Therapist
  • Cathedral City, CA
  • NPI 1356710925
  Medicare reassignment NPD
• The Tree of Life Acupuncture

  • Acupuncturist
  • Bend, OR
  • NPI 1306204300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1629516554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 G ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215610",
            "telephone_number": "707-822-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 G ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215610",
            "telephone_number": "707-822-7400",
            "fax_number": "707-822-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISCO",
        "first_name": "KASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-11",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Grein Cellitti, ASW
• Chelsey Lyn-Marie Chadwell
• Anna E Cherekovsky, CMP
• Andrea Chilton, MFT
• Johnathan J Choi, D.D.S.
• Sylvia Chrisney, CMT
• Carolyn Ann Christenson, OTR
• Christopher E Lee, MD Inc
• Daphne Alexis Cifuentes
• Jesus Pascual Cisneros

• Physical Therapist in Arcata, CA
• Providers in Arcata, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.