Active NPI
Cassandra Desimone, DPT
- Physical Therapist
- Beverly, MA
National Provider Identifier
1750937140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24522
- Practice address
- 900 Cummings Ctr Ste 130S
Beverly, MA 01915-6183 - Phone
- (978) 524-7827
- Fax
- (978) 524-7828
- NPI assigned
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 24522 | MA | Primary |
Addresses
Primary practice location
900 Cummings Ctr Ste 130S
Beverly, MA 01915-6183
Mailing address
576 Broadhollow Rd Ste Proex
Melville, NY 11747-5002
Phone (631) 359-5913
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24522 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1750937140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD STE PROEX",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "631-359-5913",
"fax_number": "631-396-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR STE 130S",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156183",
"telephone_number": "978-524-7827",
"fax_number": "978-524-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "CASSANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.