Healthcare Provider Details

I. General information

NPI: 1023076783
Provider Name (Legal Business Name): STEVEN SEAN CASSABAUM DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 BELL AVE
DES MOINES IA
50315-1199
US

IV. Provider business mailing address

PO BOX 461
NEVADA IA
50201-0461
US

V. Phone/Fax

Practice location:
  • Phone: 515-644-0240
  • Fax: 515-644-0241
Mailing address:
  • Phone: 515-382-3366
  • Fax: 515-382-1576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number02179
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: