Individual provider Active NPI

Cassandra Anne Passamonte

  • Physical Therapy Assistant
  • Plains, PA
National Provider Identifier
1629666052
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TPTA000689 Issued in PA
Practice address
667 S River St
Plains, PA 18705-1013
Phone
(570) 825-7676
NPI assigned
Dec 31, 2020
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TPTA000689 PA Primary

Addresses

Primary practice location

667 S River St
Plains, PA 18705-1013

Mailing address

1179 Wyoming Ave Rear Apt
Exeter, PA 18643-1814
Phone (570) 357-3855

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Plains

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TPTA000689PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1629666052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 WYOMING AVE REAR APT",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431814",
            "telephone_number": "570-357-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051013",
            "telephone_number": "570-825-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSAMONTE",
        "first_name": "CASSANDRA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TPTA000689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Plains",
            "affiliation": "N",
            "address_1": "667 S River St",
            "city": "Plains",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187051013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.