Active NPI
Stewart Cassell
- Physical Therapist
- Nipomo, CA
National Provider Identifier
1811087265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6526
- Practice address
- 150 S Mary Ave Ste 1
Nipomo, CA 93444-7821 - Phone
- (805) 929-3230
- Fax
- (805) 929-3232
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- 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 | PT6526 | CA | Primary |
Addresses
Primary practice location
150 S Mary Ave Ste 1
Nipomo, CA 93444-7821
Mailing address
1111 S Broadway Ste 203
Santa Maria, CA 93454-6682
Phone (805) 922-1711
Organizations & group practices 7
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.
-
- Physical Therapy Clinic/Center
- Santa Maria, CA
- NPI 1912321431
-
- Occupational Therapist
- Santa Maria, CA
- NPI 1366157877
Physical Therapist
-
- Occupational Therapist
- Santa Maria, CA
- NPI 1083878854
-
- Physical Therapist
- Davis, CA
- NPI 1740894005
-
- Physical Therapist
- Davis, CA
- NPI 1689606469
-
- Physical Therapist
- Davis, CA
- NPI 1770675639
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1972
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2936 Avila Bay PL
Davis, CA 95616-2969
585 Roca St
Ashland, OR 97520-3313
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.89 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 82.96
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090720000396 | CA | Practitioner - Physical Therapist in Private Practice | 3678536760 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6526 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beck and Cale Physical Therapy of Santa Maria | Past | Accepting new patients | |
| Coastal Hand & Occupational Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Physical Edge Specialty Services | Physical Therapist | Past | Accepting new patients |
| Physical Edge, Inc. | Physical Therapist | Past | Accepting new patients |
| Coastal Hand and Occupational Therapy | Past | Accepting new patients | |
| Physical Edge, Inc. | Physical Therapist | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667088000000",
"number": "1811087265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S BROADWAY STE 203",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934546682",
"telephone_number": "805-922-1711",
"fax_number": "805-858-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S MARY AVE STE 1",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934447821",
"telephone_number": "805-929-3230",
"fax_number": "805-929-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSELL",
"first_name": "STEWART",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2022-10-30",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT6526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nipomo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.