Individual provider Active NPI

Casandra Wheeler, PHYSICAL THERAPIST

  • Physical Therapist
  • Lake City, FL
National Provider Identifier
1720948284
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23222 Issued in FL
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

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20260421000274 FL Practitioner - Physical Therapist in Private Practice 9032685680 Reassigns benefits to 1 organization
Practice locations: Lake City, FL

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

LicenseStateTypeSpecialty
PT23222FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.