Provider Demographics
NPI:1942245931
Name:CASSEL, BRIAN ALLEN (PT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:ALLEN
Last Name:CASSEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 FARM LN
Mailing Address - Street 2:DOYLESTOWN SPORTS MEDICINE CENTER
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4714
Mailing Address - Country:US
Mailing Address - Phone:215-348-0666
Mailing Address - Fax:215-348-1346
Practice Address - Street 1:210 FARM LN
Practice Address - Street 2:DOYLESTOWN SPORTS MEDICINE CENTER
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4714
Practice Address - Country:US
Practice Address - Phone:215-348-0666
Practice Address - Fax:215-348-1346
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT014054225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACA1322068OtherHIGHMARK
PA03014701OtherCAPITAL
PA2015242000OtherINDEPENDENCE PPO