MEDICARE: CASSIE ANGLEA GRACIA

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	225200000X	Physical Therapy Assistant	2161795	TX

General Provider Information

NPI Number	:	1972450476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSIE ANGLEA GRACIA

Provider Business Mailing Address
First Line	:	101 SILVERMINE RD STE 300
Second Line	:
City	:	BROOKFIELD
State	:	CT
Zip	:	06804-2047
Country	:	US
Telephone Number	:	888-374-0835
Fax Number	:

Provider Business Practice Location Address
First Line	:	5619 LA CANA DR
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78552-8973
Country	:	US
Telephone Number	:	956-341-6911
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ CASSIE ANGLEA GRACIA ” Practice Location

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