Cassandra Leigh St. Martin, LMT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61070910 Issued in WA

Practice address

4340 Borgen Blvd
Gig Harbor, WA 98332-7000

Phone

(253) 722-7747

NPI assigned

Mar 16, 2011

Sex

Female

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.

• On Site Dermatology of Washington PLLC

  • Dermatology Physician
  • Seattle, WA
  • NPI 1083135693
  NPD (past)

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1992004964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 N ADAMS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065325",
            "telephone_number": "253-722-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 BORGEN BLVD",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327000",
            "telephone_number": "253-722-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3202 S Mason Ave",
            "address_2": "L-208",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984092278",
            "country_code": "US",
            "telephone_number": "360-319-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. MARTIN",
        "first_name": "CASSANDRA",
        "middle_name": "LEIGH",
        "credential": "LMT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60192652",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61070910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Matters Corp
• Lauren Nicole-Trittin Spencer, MS, LMFTA
• Susan H Sporl, MSW
• St. Anthony'S Family Dentistry, LLC
• Valerie C St. John, M.SC.
• Matthew John Stadler, D.D.S.
• Cynnette Stanke, RBT
• Seth J. Stankus, D.O.
• Rachel Stanley, OTR/L
• Christina M Stapleton, LMHC

• Physical Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.