Active NPI
Cassandra Papademetriou, PT
- Physical Therapist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60999436
- Practice address
- 16222 Meridian E Ste 101
Puyallup, WA 98375-6332 - Phone
- (253) 864-7595
- NPI assigned
- Sep 12, 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 | PT60999436 | WA | Primary |
Addresses
Primary practice location
16222 Meridian E Ste 101
Puyallup, WA 98375-6332
Mailing address
6050 Tacoma Mall Blvd Ste 300
Tacoma, WA 98409-6828
Phone (253) 581-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N 20TH St
FL 1
Philadelphia, PA 19103-1443
Phone (267) 548-4476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60999436 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Invictus Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Strive Physical Therapy Specialists LLC | Physical Therapist | Past | Accepting new patients |
| Multicare Health System | Physical Therapist | Past | Accepting new patients |
Locations
300 Welsh Rd
Bldg 1-100
Horsham, PA 19044
Phone (215) 874-8535
300 Welsh Rd
Bldg 1
Horsham, PA 19044
100 N 20th St
Fl 1
Philadelphia, PA 19103
Phone (267) 548-4476
Organizations & group practices 4
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.
-
- Orthopedic Physical Therapist
- Philadelphia, PA
- NPI 1497402945
-
- Physical Therapist
- Horsham, PA
- NPI 1528689445
-
- Physical Therapy Clinic/Center
- Moorestown, NJ
- NPI 1023609955
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1760032767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 TACOMA MALL BLVD STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984096828",
"telephone_number": "253-581-5200",
"fax_number": "253-581-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16222 MERIDIAN E STE 101",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756332",
"telephone_number": "253-864-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPADEMETRIOU",
"first_name": "CASSANDRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60999436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.