Active NPI
Cassandra Schnelle
- Physical Therapist
- Camas, WA
National Provider Identifier
1861990178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05012740A
- Practice address
- 1905 SE 192ND Ave Ste 205
Camas, WA 98607-7415 - Phone
- (360) 210-5440
- Fax
- (360) 210-7731
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60848939 | WA | |
| Physical Therapist | 225100000X | 2305211697 | VA | |
| Physical Therapist | 225100000X | 05012740A | IN | Primary |
Addresses
Primary practice location
1905 SE 192ND Ave Ste 205
Camas, WA 98607-7415
Mailing address
9616 O Day Dr
Highland, IN 46322-3158
Phone (219) 433-0462
Other practice location 1
1606 N 7th St
Terre Haute, IN 47804-2706
Phone (812) 238-7172
Other practice location 2
11104 Parkview Circle Dr Ste 50
Fort Wayne, IN 46845-1733
Phone (260) 266-4080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012740A | IN | MD | Physical Therapist |
| 2305211697 | VA | MD | Physical Therapist |
| PT60848939 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1861990178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9616 O DAY DR",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463223158",
"telephone_number": "219-433-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 SE 192ND AVE STE 205",
"city": "CAMAS",
"state": "WA",
"postal_code": "986077415",
"telephone_number": "360-210-5440",
"fax_number": "360-210-7731"
}
],
"practiceLocations": [
{
"address_1": "1606 N 7th St",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478042706",
"country_code": "US",
"telephone_number": "812-238-7172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11104 Parkview Circle Dr Ste 50",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451733",
"country_code": "US",
"telephone_number": "260-266-4080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNELLE",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60848939",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211697",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012740A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.