Individual provider Active NPI

Stewart Cassell

  • Physical Therapist
  • Nipomo, CA
National Provider Identifier
1811087265
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6526 Issued in CA
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

Updated by the provider on Oct 30, 2022

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 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.

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 100Reported as individual
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PT6526CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beck and Cale Physical Therapy of Santa Maria Past Accepting new patients
Coastal Hand & Occupational Therapy Inc Physical Therapist PastSince Jan 22, 2023 Accepting new patients
Physical Edge Specialty Services Physical Therapist PastSince Sep 6, 2020 Accepting new patients
Physical Edge, Inc. Physical Therapist PastSince Dec 9, 2002 Accepting new patients
Coastal Hand and Occupational Therapy PastSince Jan 22, 2023 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.

Verify at the official NPI Registry.