Individual provider Active NPI

Cassie Jo McCandless, DPT

  • Physical Therapist
  • Kansas City, KS
National Provider Identifier
1912309303
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07165 Issued in KS
Practice address
2040 Hutton Rd Ste 104
Kansas City, KS 66109-4566
Phone
(913) 725-8340
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3833 AR
Physical Therapist 225100000X 7430 SC
Physical Therapist 225100000X 11-07165 KS Primary

Addresses

Primary practice location

2040 Hutton Rd Ste 104
Kansas City, KS 66109-4566

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (316) 263-0003

Other names 1

  • Cassie Webb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150114001580 SC Practitioner - Physical Therapist in Private Practice 9830413111 Reassigns benefits to 5 organizations
I20221008000250 KS Practitioner - Physical Therapist in Private Practice 9830413111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred PT LLCGroup PAC ID 9436447422, 48 clinicians

Practice addresses (Care Compare)

2040 Hutton Rd
Suite 104
Kansas City, KS 66109-4566
Phone (913) 725-8340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3833ARMDPhysical Therapist
11-07165KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT LLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Imagine Physical Therapy Old Village LLC Physical Therapist CurrentSince Mar 10, 2016 Accepting new patients
Imagine Physical Therapy LLC Physical Therapist CurrentSince Oct 25, 2014 Accepting new patients
Imagine Physical Therapy on Daniel Island LLC Physical Therapist CurrentSince Oct 15, 2015 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Preferred PT LLC Physical Therapist Current Accepting new patients
Imagine Physical Therapy in West Ashley, LLC Physical Therapist CurrentSince Mar 10, 2016 Accepting new patients
Imagine Physical Therapy North Rhett LLC Physical Therapist CurrentSince Oct 15, 2015 Accepting new patients
Love of Language PastSince May 8, 2018 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2040 Hutton Rd
Ste 104
Kansas City, KS 66109
Phone (913) 725-8340

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

142 Sportsman Island Dr
Ste F
Charleston, SC 29492
Phone (843) 377-8820

2267 Ashley River Rd
Charleston, SC 29414
Phone (843) 576-4121

1304 Erckmann Dr
Ste C
Mt Pleasant, SC 29464
Phone (843) 804-9479

3301 Stockdale St
Ste B
Mt Pleasant, SC 29466
Phone (843) 375-5448

5111 N Rhett Ave
North Charleston, SC 29405
Phone (843) 352-4952

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1912309303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD STE 104",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094566",
            "telephone_number": "913-725-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANDLESS",
        "first_name": "CASSIE",
        "middle_name": "JO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3833",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7430",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "WEBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.