Kassandra Bizauskas, L.M.P.

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA60663981 Issued in WA

Practice address

100 Station Drive Suite 100
Dupont, WA 98327-8727

Phone

(253) 912-9653

NPI assigned

Aug 10, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kassandra McGrath Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1942754668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27713 79TH AVENUE CT E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983389375",
            "telephone_number": "702-234-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STATION DRIVE SUITE 100",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278727",
            "telephone_number": "253-912-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZAUSKAS",
        "first_name": "KASSANDRA",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60663981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSANDRA",
            "last_name": "MCGRATH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mechanotherapist in Dupont, WA
• Providers in Dupont, WA by specialty
• Mechanotherapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.