Joanne C Cassidy, OT

Individual provider Active NPI Occupational Therapist · Selbyville, DE

NPI 1770725129 · NPPES record last updated Apr 1, 2009

Key facts

NPI
1770725129
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
U1-0000627 (DE)
Practice address
31 Hoosier St
Selbyville, DE 19975-9300
Phone
(302) 856-1000
Fax
(302) 856-1950
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
U1-0000627DEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X U1-0000627 DE Yes

Addresses

Primary practice location

31 Hoosier St
Selbyville, DE 19975-9300

Mailing address

31 Hoosier St
Selbyville, DE 19975-9300
Phone (302) 856-1000

Other providers in Selbyville, DE

All providers in Selbyville, DE · Occupational Therapist in Delaware

Sources for this page

Verify at the official NPI Registry.