CASSANDRA WILSON PTA
NPI 1386023307
Developmental Therapist in Hazleton, IN

Active since May 22, 2015
4495 E GIRO RD, HAZLETON, IN 47640(812) 664-8531 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassandra Wilson Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA WILSON PTA (NPI 1386023307) is an individual developmental therapist in Hazleton, Indiana, licensed in Indiana (06002568A) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1386023307
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameCASSANDRA WILSONCredential: PTA
Location Address4495 E GIRO RDHazleton, IN 47640-9303
Mailing Address4495 E Giro RdHazleton, IN 47640-9303 · (812) 664-8531
Sole ProprietorYes
Enumeration DateMay 22, 2015
NPI 1386023307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
License Licensed in IN · 06002568A
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
4495 E GIRO RD, Hazleton, IN 47640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassandra Wilson's NPI number?

The NPI number for Cassandra Wilson is 1386023307. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Cassandra Wilson located?

Cassandra Wilson practices at 4495 E Giro Rd, Hazleton, IN 47640. The listed phone number is (812) 664-8531.

What is Cassandra Wilson's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Cassandra Wilson was last updated on May 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.