Cassidy Eiers, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

280 River Park Dr Ste 110
Provo, UT 84604-5765

Phone

(414) 881-0179

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1811607203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N SEASONS VIEW DR APT A3005",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436203",
            "telephone_number": "414-881-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 RIVER PARK DR STE 110",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045765",
            "telephone_number": "414-881-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIERS",
        "first_name": "CASSIDY",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cassidy@cognitivefxusa.com",
            "affiliation": "Y",
            "affiliationName": "Cognitive FX",
            "address_1": "280 River Park Dr Ste 110",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846045765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Brad Egbert, M.D.
• William Joseph Egbert
• Braquel Egginton
• Justine Cadayong Eggleston
• Emily Ruth Eggli, COTA/L
• Joanna Ruth Eismann, CCM
• Brett Michaelq Elder
• Dominique Sage Elder
• Kaylene Elder, FNP-C
• Lexie Elder

• Athletic Trainer in Provo, UT
• Providers in Provo, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.