Individual provider Active NPI

Kevin James Cassidy, P.T.

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1992764104
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006414 Issued in OH
Practice address
4358 Ferguson Dr
Suite 200
Cincinnati, OH 45245-1680
Phone
(513) 943-4400
Fax
(513) 943-5323
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 006414 OH Primary

Addresses

Primary practice location

4358 Ferguson Dr
Suite 200
Cincinnati, OH 45245-1680

Mailing address

752 Mendon Hill LN
Cincinnati, OH 45244-5023
Phone (513) 831-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040712000137 OH Practitioner - Physical Therapist in Private Practice 6305824889 Reassigns benefits to 1 organization
I20090508000180 KY Practitioner - Physical Therapist in Private Practice 6305824889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006414OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc CurrentSince Jun 26, 2024 Accepting new patients
Kentucky Rehabilitation Services Inc Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Rehabclinics SPT Inc Physical Therapist Current Accepting new patients
Kentucky Rehabilitation Services Inc CurrentSince Aug 20, 2007 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jun 26, 2024 Accepting new patients
Freiberg Orthopaedics & Sports Medicine Past Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
Orthopedic Associates of Shelby County Inc Past Accepting new patients

Locations

68 Cavalier Blvd
Ste 1700
Florence, KY 41042
Phone (859) 283-0707

2010 N Bend Rd
Ste 600
Hebron, KY 41048
Phone (859) 594-5220

9419 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 227-0703

9596 Colerain Ave
Cincinnati, OH 45251
Phone (513) 661-3114

Organizations & group practices 8

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992764104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 MENDON HILL LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452445023",
            "telephone_number": "513-831-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 FERGUSON DR",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451680",
            "telephone_number": "513-943-4400",
            "fax_number": "513-943-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "006414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.