Individual provider Active NPI

Cassandra Cathleen Brice, PT

  • Physical Therapist
  • Fairbanks, AK
National Provider Identifier
1871758771
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
713 Issued in AK
Practice address
2310 Peger Rd
Suite 101
Fairbanks, AK 99709-5305
Phone
(907) 457-7678
Fax
(907) 457-7677
NPI assigned
Jul 21, 2008
Last updated
Feb 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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 713 AK Primary

Addresses

Primary practice location

2310 Peger Rd
Suite 101
Fairbanks, AK 99709-5305

Mailing address

2310 Peger Rd
Suite 101
Fairbanks, AK 99709-5305
Phone (907) 457-7678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000745 AK Practitioner - Physical Therapist in Private Practice 9638243132 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
713AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Town Physical Therapy, LLC CurrentSince Nov 17, 2013 Accepting new patients
North Pole Physical Therapy, Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

2310 Peger Rd
Ste 101
Fairbanks, AK 99709
Phone (907) 457-7678

157 Lewis St
North Pole, AK 99705
Phone (907) 488-4978

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1871758771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 PEGER RD",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095305",
            "telephone_number": "907-457-7678",
            "fax_number": "907-457-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PEGER RD",
            "address_2": "SUITE 101",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095305",
            "telephone_number": "907-457-7678",
            "fax_number": "907-457-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "CASSANDRA",
        "middle_name": "CATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.