Cassidy N Thompson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29559 Issued in FL

Practice address

2200 Fowler Grove Blvd Ste 40
Winter Garden, FL 34787-5597

Phone

(407) 614-0575

Fax

(407) 654-0985

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1750923223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 COURTNEY SPRINGS CIR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086336",
            "telephone_number": "479-799-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 40",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "407-614-0575",
            "fax_number": "407-654-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CASSIDY",
        "middle_name": "N",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph James Thixton
• Richard Wilkin Thom, PT, DPT
• Gregory Thomas, PHD
• Marie Sylvie Thomas
• Mathew Jos Thomas, DO
• Ellen Thompson, MA CCC-SLP
• Karissa Thomson, OTD, OTR/L
• Laina Thomson
• Cassandra Thorla, CPNP-PC
• Three Oaks Dental LLC

• Physical Therapy Assistant in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.