MR. JONATHAN CASSENS (NPI# 1124008990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124008990 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN CASSENS |
| Credential | CPO, LPO |
| Practice Address |
2112 E Villa Maria Rd Bryan TX 77802-2542 |
| Practice Telephone | 9797311985 |
| Practice Fax Number | 9797768447 |
| Mailing Telephone | 9797311985 |
| Mailing Fax Number | 9797768447 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 222Z00000X | Orthotist | 138 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 224P00000X | Prosthetist | 138 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225X00000X | Occupational Therapist | 102390 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER ID | 515099 | 01 |
| TX | SCOTT AND WHITE PROV ID | 22102 | 01 |
| BOARD CERTIFICATION, ABC | CPO01811 | 01 |
| Street Address |
2112 E VILLA MARIA RD |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659483725 | Central Texas Orthotics & Prosthetics, Lp | Durable Medical Equipment & Medical Supplies | 2112 E Villa Maria Rd, Bryan, TX 77802-2542 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869225 | Anna Christine Brown | Orthotist | 12880 Hillcrest Rd Ste J216, Dallas, TX 75230-1532 | 2020-10-22 |
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1639713597 | Amanda Coldren | Orthotist | 6011 Harry Hines Blvd Ste 302, Dallas, TX 75235-5386 | 2019-11-04 |
| 1184266785 | Duran H Pardue | Orthotist | 6011 Harry Hines Blvd Fl 2, Dallas, TX 75235-5386 | 2019-10-15 |
| 1326692351 | Steven Gomez Herrera Sr. | Orthotist | 7410 John Smith Dr Ste 213, San Antonio, TX 78229-6000 | 2019-07-29 |
| 1669034831 | Madeline Maya Gougeon | Orthotist | Hope Orthotics, LLC - Attn: Maya Gougeon, Lo, 230 Spring Hill Drive, Suite 335, Spring, TX 77386-2388 | 2019-07-08 |
| 1275048852 | Phuoc Nguyen | Orthotist | 1721 W Plano Pkwy Ste 212, Plano, TX 75075 | 2017-12-05 |
| 1316452147 | Abigail Catherine Genet | Orthotist | 6011 Harry Hines Blvd Suite V5.400, Dallas, TX 75390-0001 | 2017-12-01 |
| 1407370414 | Katelyn Suzanne Cummings | Orthotist | 230 Spring Hill Dr Ste 335, Spring, TX 77386-2388 | 2017-08-01 |
| 1154843647 | Nicholas Robison Brown | Orthotist | 6011 Harry Hines Blvd Ste V2302, Dallas, TX 75235-5386 | 2017-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.