Organization Active NPI

Casandra Wheeler Physical Therapist LLC

  • Physical Therapist
  • Lake City, FL
National Provider Identifier
1760320758
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CASANDRA WHEELER PHYSICAL THERAPIST LLC
Practice address
710 SW Arlington Blvd Ste 101
Lake City, FL 32025-0769
Phone
(386) 365-2168
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Casandra Wheeler, P.T.NPI 1720948284
Title
Owner, Provider, Authorized Officia
Phone
(386) 365-2168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

710 SW Arlington Blvd Ste 101
Lake City, FL 32025-0769

Mailing address

710 SW Arlington Blvd Ste 101
Lake City, FL 32025-0769
Phone (386) 365-2168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260615001471 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244702892 Receives reassigned benefits from 1 practitioner
Practice locations: Lake City, FL

National Provider Directory

National Provider Directory

Locations

710 SW Arlington Blvd
#101
Lake City, FL 32025
Phone (386) 365-2168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1760320758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SW ARLINGTON BLVD STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250769",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASANDRA WHEELER PHYSICAL THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "OWNER, PROVIDER, AUTHORIZED OFFICIA",
        "authorized_official_telephone_number": "386-365-2168",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.