DR. CASSANDRA BANDOW (NPI# 1174072789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174072789 |
Entity Type | Individual |
Full Name | DR. CASSANDRA BANDOW |
Other Name | DR. CASSIE BANDOW |
Credential | DPT |
Practice Address |
10 Tri Park Way Appleton WI 54914-1658 |
Mailing Address |
104 E Glendale Ave Appleton WI 54911-2905 |
Practice Telephone | 9208317902 |
Mailing Telephone | 9208317902 |
Enumeration Date | 2016-09-23 |
Last Update Date | 2016-09-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
13545-24 | WI | Ambulatory Health Care Facilities |
Street Address |
10 TRI PARK WAY |
City | APPLETON |
State | WI |
Zip Code | 54914-1658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447256920 | Bonnie J Mccluskey | Registered Nurse | 10 Tri Park Way, Appleton, WI 54914-1658 | 2005-06-21 |
1003446089 | Mindee Juve | Psychologist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2020-01-18 |
1366080590 | Tiffany Ramsey | Dietitian, Registered | 10 Tri Park Way, Appleton, WI 54914-1658 | 2019-12-18 |
1558843581 | Nichole Duchow | Social Worker | 10 Tri Park Way, Appleton, WI 54914-1658 | 2018-09-06 |
1922515378 | Sarah Corinne Martinez | Social Worker | 10 Tri Park Way, Appleton, WI 54914-1658 | 2018-01-08 |
1184147340 | Brenda Melnarik | Nurse Practitioner | 10 Tri Park Way, Appleton, WI 54914-1658 | 2017-07-19 |
1770018004 | Laura Gaworski | Psychologist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2017-04-24 |
1811448731 | Stephanie Friedman | Nurse Practitioner | 10 Tri Park Way, Appleton, WI 54914-1658 | 2016-10-14 |
1215323985 | Wendy Antoine | Pharmacist | 10 Tri Park Way, Appleton, WI 54914-1658 | 2015-04-09 |
1386070308 | Michael Robert Oconnell | Nurse Practitioner | 10 Tri Park Way, Appleton, WI 54914-1658 | 2013-09-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
Find all providers in zip 54914 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912155664 | Dunlop Rehab Staffing, Inc. | Clinic/Center | 3112 E Parkside Blvd Apt 28, Appleton, WI 54915-5618 | 2008-09-07 |
1407857790 | Advanced Physical Therapy & Sports Medicine Sc | Clinic/Center | 2105 E Enterprise Ave # 113, Advanced Physical Therapy, Appleton, WI 54913-7862 | 2005-08-09 |
1447618004 | Ascension Ne Wisconsin, Inc | Clinic/Center | N496 Milky Way, Appleton, WI 54915 | 2016-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313074 | Byond Physical Therapy, LLC | Clinic/Center | 11320 W Forest Home Ave, Franklin, WI 53132-1401 | 2020-10-13 |
1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
1790311199 | Exos Wi LLC | Clinic/Center | 7044 S Ballpark Dr Ste 300, Franklin, WI 53132-6910 | 2020-03-17 |
1831735885 | Garvey Physical Therapy & Wellness LLC | Clinic/Center | 417 Maple Ct, Campbellsport, WI 53010-3531 | 2019-11-25 |
1821649088 | Impact Physical Therapy & Performance LLC | Clinic/Center | 1155 Clarity Dr, Verona, WI 53593-9318 | 2019-09-27 |
1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
1619521267 | Space To Be Well, LLC | Clinic/Center | 1091 Sutherland Ave, River Falls, WI 54022-7509 | 2019-07-31 |
1346894656 | Cornerstone Physical Therapy, LLC | Clinic/Center | 2829 County Highway I Ste 3, Chippewa Falls, WI 54729-2678 | 2019-07-25 |
1619437514 | Resilience Rx LLC | Clinic/Center | 4708 Graywood Ct Apt 3, Nashotah, WI 53058-9688 | 2019-03-25 |
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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.