Individual provider Active NPI

Cassandra Frances Schultheiss

  • Physical Therapy Assistant
  • Red Lion, PA
National Provider Identifier
1679230007
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE1006424 Issued in PA
Practice address
635 Lombard Rd
Red Lion, PA 17356-9054
Phone
(717) 851-7500
Fax
(717) 244-3730
NPI assigned
Nov 19, 2021
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE011353 PA
Physical Therapy Assistant 225200000X TE1006424 PA Primary

Addresses

Primary practice location

635 Lombard Rd
Red Lion, PA 17356-9054

Mailing address

635 Lombard Rd
Red Lion, PA 17356-9054
Phone (717) 851-7500

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
TE011353PAMDPhysical Therapy Assistant
TE1006424PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1679230007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 LOMBARD RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569054",
            "telephone_number": "717-851-7500",
            "fax_number": "717-244-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 LOMBARD RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569054",
            "telephone_number": "717-851-7500",
            "fax_number": "717-244-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTHEISS",
        "first_name": "CASSANDRA",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE011353",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1006424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.