Healthcare Provider Details

I. General information

NPI: 1225489446
Provider Name (Legal Business Name): CASSANDRA HIPPENSTEEL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

861 N HIGLEY RD # B115
GILBERT AZ
85234-9602
US

IV. Provider business mailing address

15410 S MOUNTAIN PKWY SUITE 112
PHOENIX AZ
85044-6691
US

V. Phone/Fax

Practice location:
  • Phone: 480-699-8473
  • Fax:
Mailing address:
  • Phone: 480-706-1161
  • Fax: 480-706-7997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12293
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: