Cassidy Branham, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P21130 Issued in NC

Practice address

1129 E Marion St
Shelby, NC 28150-4843

Phone

(704) 471-0001

Fax

(704) 471-0004

NPI assigned

Mar 17, 2022

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Rehabilitation Group, LLC

  • Physical Therapist
  • Gaffney, SC
  • NPI 1376240796
  NPD
• Cleveland Physical Therapy Associates Inc

  • Physical Therapy Clinic/Center
  • Shelby, NC
  • NPI 1093718199
  NPD (past)
• Physical Rehabilitation Group

  • Physical Therapist
  • Columbia, SC
  • NPI 1629407606
  NPD (past)

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1780332882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 E MARION ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504843",
            "telephone_number": "704-471-0001",
            "fax_number": "704-471-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W King St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280863437",
            "country_code": "US",
            "telephone_number": "704-739-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "CASSIDY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Q Brackett
• George Lee Bradley, DO
• Roslyn Vinson Braggs, PMHNP
• Michael Brame, M.D.
• Janet Marie Brandon, PA-C
• Christopher John Breese, PHARMD
• Anita M Brennan, MPT
• Brenton L Young DDS and Pauline E Cahill DDS PA (Shelby Dental Care Center)
• Bridge Residential and Community Services
• Carol Moss Bridges, O.D.

• Physical Therapist in Shelby, NC
• Providers in Shelby, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.