Individual provider Active NPI

Cassidy Ann Goldsworth, PTA

  • Physical Therapy Assistant
  • Charlottesville, VA
National Provider Identifier
1942021142
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
23066006652 Issued in VA
Practice address
250 Merchant Walk Ave Ste 300
Charlottesville, VA 22902-6520
Phone
(434) 328-4900
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 23066006652 VA Primary

Addresses

Primary practice location

250 Merchant Walk Ave Ste 300
Charlottesville, VA 22902-6520

Mailing address

2060 Meyers Way
Crozet, VA 22932-1598
Phone (720) 299-5855

Other practice location 1

201B Rosser Ave
Waynesboro, VA 22980-3540
Phone (540) 943-4510

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23066006652VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc PastSince Oct 27, 2024 Accepting new patients
Select Physical Therapy Holdings, Inc. PastSince Oct 27, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1942021142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 MEYERS WAY",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229321598",
            "telephone_number": "720-299-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MERCHANT WALK AVE STE 300",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026520",
            "telephone_number": "434-328-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201B Rosser Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229803540",
            "country_code": "US",
            "telephone_number": "540-943-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSWORTH",
        "first_name": "CASSIDY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "23066006652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.