Provider Demographics
NPI:1790400364
Name:HOOKS, CASSANDRA (PTA)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:HOOKS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 ESSINGTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8409
Mailing Address - Country:US
Mailing Address - Phone:158-744-7108
Mailing Address - Fax:
Practice Address - Street 1:23909 W RENWICK RD STE 101
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-2109
Practice Address - Country:US
Practice Address - Phone:815-436-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160009645225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant