Individual provider Active NPI

Cassandra Papademetriou, PT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1760032767
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60999436 Issued in WA
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

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210923001420 PA Practitioner - Physical Therapist in Private Practice 5890129993 Reassigns benefits to 2 organizations

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
Invictus Physical Therapy LLCGroup PAC ID 5092184515, 9 clinicians

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

LicenseStateTypeSpecialty
PT60999436WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 28, 2026 Accepting new patients
Invictus Physical Therapy LLC Physical Therapist CurrentSince Sep 29, 2025 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients
Multicare Health System Physical Therapist PastSince Sep 15, 2019 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.

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.

Verify at the official NPI Registry.