MEDICARE: CASSANDRA HIPPENSTEEL DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist
2	2251S0007X	Sports Physical Therapist
3	225100000X	Physical Therapist	12293	AZ

General Provider Information

NPI Number	:	1225489446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA HIPPENSTEEL DPT

Provider Business Mailing Address
First Line	:	15410 S MOUNTAIN PKWY
Second Line	:	SUITE 112
City	:	PHOENIX
State	:	AZ
Zip	:	85044-6691
Country	:	US
Telephone Number	:	480-706-1161
Fax Number	:	480-706-7997

Provider Business Practice Location Address
First Line	:	861 N HIGLEY RD # B115
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-9602
Country	:	US
Telephone Number	:	480-699-8473
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	04/06/2026

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