Nolan Cassidy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3174 Issued in NV

Practice address

10015 Foothills Blvd Ste 130
Roseville, CA 95747-7101

Phone

(916) 905-6378

NPI assigned

Jun 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kime Performance Nevada LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1053918185
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1902286388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 FOOTHILLS BLVD",
            "address_2": "STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477101",
            "telephone_number": "916-905-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 FOOTHILLS BLVD STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477101",
            "telephone_number": "916-905-6378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 N Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034724",
            "country_code": "US",
            "telephone_number": "775-786-3040",
            "fax_number": "775-786-1358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "NOLAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1258455",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lee Casey-Stevens, CAODC
• Alexis Casey
• Yini Casibang
• Cassandra J. Krupansky, DDS, Ms, Inc.
• Erin Marie Cassidy
• Hyacinth Joy Lumapas Cassion, BSN, RN, FNP
• Jamie Castaneda
• Luis Castaneda
• Flor Margarita Castellanos
• Katrina Castellanos

• Physical Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.