Cassidi Hairgrove

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113114 Issued in TX

Practice address

817 N Mound St
Nacogdoches, TX 75961-4427

Phone

(936) 564-6907

Fax

(936) 564-0509

NPI assigned

Mar 9, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hettie Legg & Associates

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Nacogdoches, TX
  • NPI 1396908232

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1700533742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614427",
            "telephone_number": "936-564-6907",
            "fax_number": "936-564-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614427",
            "telephone_number": "936-564-6907",
            "fax_number": "936-564-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRGROVE",
        "first_name": "CASSIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nacogdoches",
            "affiliation": "N",
            "address_1": "817 N Mound St",
            "city": "Nacogdoches",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759614427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Skyy Gurley
• Gut Professor, LLC
• Waseem Haddad, RPH
• Treacy C Hagan, DC
• John George Haidinyak, MD
• Carla Ann Hairston, RN,FNP
• William Wayne Hairston, D.O.
• Caprice Hale, LMSW
• Kenslee Elise Haley, M.S., CCC-SLP
• Mitchell D Haley, OD

• Occupational Therapist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.