Provider Demographics
NPI:1104704147
Name:VIETAS-PRETE, CASSANDRA MAE (DPT)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:MAE
Last Name:VIETAS-PRETE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:VIETAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:803 LINDENHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2079
Mailing Address - Country:US
Mailing Address - Phone:210-677-9570
Mailing Address - Fax:
Practice Address - Street 1:920 N HAMILTON RD STE 400
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1757
Practice Address - Country:US
Practice Address - Phone:210-677-9570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH019182225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist