CASSANDRA ETTER (PT, DPT) – Physical Therapist, NPI 1194205088

CASSANDRA ETTER (PT, DPT) is a healthcare provider. based in Trumbull, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 11994 (CT). The NPI Number for CASSANDRA ETTER (PT, DPT) is 1194205088

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA ETTER (PT, DPT)
NPI
1194205088
Phone
(203) 268-8888
Address
115 TECHNOLOGY DR
Enumeration Date
20 August 2018
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4752680030
Graduation Year
2018 (8 years ago)
PAC ID
5092126268
Group Practice PAC ID
7911800180
Professional Enrollment ID
I20201118002563
Address ID
CT069028904ST150XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for CASSANDRA ETTER (PT, DPT)

  • 115 Technology Drive, Technology Drive, Trumbull, Fairfield County, Connecticut, 06468, United States

    SUITE B100

    TRUMBULL, CT 06611

    Phone: (203) 268-8888

    Type: Mailing

  • 2 IVY BROOK RD STE 230

    SHELTON, CT 064846416

    Phone: (203) 924-2853

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201118002563IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911800180View full group profile
NameSpecialtyState
Nurse PractitionerCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Family PracticeCT
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeNY
Internal MedicineCT
Nurse PractitionerCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

How do I look up CASSANDRA ETTER (PT, DPT) by NPI?
Use NPI 1194205088 when you need to reference CASSANDRA ETTER (PT, DPT) in forms, claims, or directories.
Is CASSANDRA ETTER (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CASSANDRA ETTER (PT, DPT) work in?
You can think of CASSANDRA ETTER (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for CASSANDRA ETTER (PT, DPT)?
The page summarizes Trumbull, Connecticut for CASSANDRA ETTER (PT, DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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