Active NPI
Cassandra Greenwood, DPT
- Physical Therapist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30131
- Practice address
- 1287 U.S. 41 Bypass S.
Venice, FL 34285 - Phone
- (941) 202-0500
- NPI assigned
- Oct 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02512 | RI | |
| Physical Therapist | 225100000X | 1222487 | TX | |
| Physical Therapist | 225100000X | PT30131 | FL | Primary |
Addresses
Primary practice location
1287 U.S. 41 Bypass S.
Venice, FL 34285
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
4265 Laura St
Port Charlotte, FL 33980-2836
Phone (844) 287-2286
Other names 1
- Cassandra Webb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2675 Winkler Ave
Fort Myers, FL 33901-9342
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14195 | NC | MD | Professional Counselor |
| PT30131 | FL | MD | Physical Therapist |
| PT02512 | RI | MD | Physical Therapist |
| 1222487 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
4265 Laura St
Pt Charlotte, FL 33980
Phone (941) 764-7117
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1287 US Highway 41 Byp S
Venice, FL 34285
Phone (941) 202-0500
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- cassandra.webb.1@4290.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1689926701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1287 U.S. 41 BYPASS S.",
"city": "VENICE",
"state": "FL",
"postal_code": "34285",
"telephone_number": "941-202-0500"
}
],
"practiceLocations": [
{
"address_1": "4265 Laura St",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339802836",
"country_code": "US",
"telephone_number": "844-287-2286",
"fax_number": "941-883-4101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENWOOD",
"first_name": "CASSANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02512",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1222487",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "WEBB",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.