Provider Demographics
NPI:1144276130
Name:ENGLERT, CASSANDRA MARIE (MSPT)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MARIE
Last Name:ENGLERT
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:MARIE
Other - Last Name:BORGIASZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:4109 MOUNTAIN VIEW RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RED BANK
Practice Address - State:TN
Practice Address - Zip Code:37415-2096
Practice Address - Country:US
Practice Address - Phone:423-877-5817
Practice Address - Fax:423-877-7170
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3156797OtherBCBST - GROUP NUMBER
TN0446652Medicaid
TN5441658Medicaid
TN5441658Medicaid