Individual provider Active NPI

Cassandra Leigh Tworzydlo, PT, DPT

  • Physical Therapist
  • Waynesburg, PA
National Provider Identifier
1972158061
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027915 Issued in PA
Practice address
1490 E High St
Waynesburg, PA 15370-9558
Phone
(724) 627-9489
NPI assigned
Aug 6, 2019
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 PT027915 PA Primary

Addresses

Primary practice location

1490 E High St
Waynesburg, PA 15370-9558

Mailing address

PO Box 2
Allenport, PA 15412-0002
Phone (724) 554-4424

Other names 1

  • Cassandra Leigh Rotheram Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220001619 PA Practitioner - Physical Therapist in Private Practice 3476944810 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027915PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems of McMurray CurrentSince Oct 1, 2021 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince May 1, 2022 Accepting new patients
Morgantown Physical Therapy Associates, Inc. Physical Therapist CurrentSince Oct 22, 2021 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Keystone Rehabilitation Systems of McMurray CurrentSince Oct 1, 2021 Accepting new patients
Morgantown Physical Therapy Associates, Inc. CurrentSince Oct 22, 2021 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince May 1, 2022 Accepting new patients

Locations

250 University Ave
Rm 103
California, PA 15419
Phone (724) 938-5806

352 Railroad St
Ligonier, PA 15658
Phone (724) 238-3301

2175 McClellandtown Rd
Ste Ab
Masontown, PA 15461
Phone (724) 491-5220

100 Ridgeview Dr
Unit 6
Smithfield, PA 15478
Phone (724) 564-5600

1490 E High St
Waynesburg, PA 15370
Phone (724) 627-9489

160 Greene Plz
Waynesburg, PA 15370
Phone (724) 802-7395

Organizations & group practices 7

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1972158061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "ALLENPORT",
            "state": "PA",
            "postal_code": "154120002",
            "telephone_number": "724-554-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E HIGH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153709558",
            "telephone_number": "724-627-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWORZYDLO",
        "first_name": "CASSANDRA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ROTHERAM",
            "middle_name": "LEIGH",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.