Active NPI
Casandra Wheeler, PHYSICAL THERAPIST
- Physical Therapist
- Lake City, FL
National Provider Identifier
1720948284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23222
- Practice address
- 710 SW Arlington Blvd Ste 101
Lake City, FL 32025-0769 - Phone
- (386) 365-2168
- Fax
- (386) 244-9752
- NPI assigned
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT23222 | FL | Primary |
Addresses
Primary practice location
710 SW Arlington Blvd Ste 101
Lake City, FL 32025-0769
Mailing address
136 SE Beverly PL
Lake City, FL 32025-6759
Phone (386) 365-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
710 SW Arlington Blvd
Suite 101
Lake City, FL 32025-0769
Phone (386) 365-2168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23222 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casandra Wheeler Physical Therapist LLC | Single Specialty | Current | Accepting new patients |
Locations
710 SW Arlington Blvd
#101
Lake City, FL 32025
Phone (386) 365-2168
Organizations & group practices 1
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.
-
- Physical Therapist
- Lake City, FL
- NPI 1760320758
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1720948284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 SE BEVERLY PL",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256759",
"telephone_number": "386-365-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 SW ARLINGTON BLVD STE 101",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320250769",
"telephone_number": "386-365-2168",
"fax_number": "386-244-9752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "CASANDRA",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-17",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT23222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.