Individual provider Active NPI

Cheryl Kay Cassady

  • Occupational Therapy Assistant
  • Saint Louis, MO
National Provider Identifier
1720103260
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2014024651 Issued in MO
Practice address
3601 Lemay Ferry Rd
Ehepa 53 Apartments
Saint Louis, MO 63125-4560
Phone
(314) 845-1717
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057002388 IL
Occupational Therapy Assistant 224Z00000X 2014024651 MO Primary

Addresses

Primary practice location

3601 Lemay Ferry Rd
Ehepa 53 Apartments
Saint Louis, MO 63125-4560

Mailing address

1235 Janice St
Redbud, IL 62278-1371
Phone (618) 795-1828

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
057002388ILMDOccupational Therapy Assistant
2014024651MOMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1720103260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 JANICE ST",
            "city": "REDBUD",
            "state": "IL",
            "postal_code": "622781371",
            "telephone_number": "618-795-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 LEMAY FERRY RD",
            "address_2": "EHEPA 53 APARTMENTS",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254560",
            "telephone_number": "314-845-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSADY",
        "first_name": "CHERYL",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057002388",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2014024651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.