Provider Demographics
NPI:1104170588
Name:CASSELL, JAMES H IV (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:CASSELL
Suffix:IV
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BROAD ST APT 903
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2162
Mailing Address - Country:US
Mailing Address - Phone:914-413-6517
Mailing Address - Fax:
Practice Address - Street 1:5 N GREENWICH RD
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504
Practice Address - Country:US
Practice Address - Phone:914-202-0700
Practice Address - Fax:914-462-3444
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035099225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist