DR. CASSIDY DAVIS (PT, DPT) – Physical Therapist, NPI 1528890498

DR. CASSIDY DAVIS (PT, DPT) is a healthcare provider. based in Valrico, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT42161 (FL). The NPI Number for DR. CASSIDY DAVIS (PT, DPT) is 1528890498

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASSIDY DAVIS (PT, DPT)
NPI
1528890498
Phone
Not provided
Address
3521 OLD COURSE LN
Enumeration Date
19 August 2024
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8138058105
Graduation Year
2024 (2 years ago)
PAC ID
2769984269
Group Practice PAC ID
9931224367
Professional Enrollment ID
I20250904002926
Address ID
FL336061812TA1501XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for DR. CASSIDY DAVIS (PT, DPT)

  • 3521 OLD COURSE LN

    VALRICO, FL 335969221

    Phone:

    Type: Mailing

  • 1202 W CARMEN ST

    TAMPA, FL 336061303

    Phone: (813) 254-3707

    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: 2025-09-04

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
I20250904002926IPhysical Therapist In Private PracticeFLTBD

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 33596)

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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: 9931224367View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up DR. CASSIDY DAVIS (PT, DPT) by NPI?
Use NPI 1528890498 when you need to reference DR. CASSIDY DAVIS (PT, DPT) in forms, claims, or directories.
Is DR. CASSIDY DAVIS (PT, DPT) active in the national directory?
DR. CASSIDY DAVIS (PT, DPT)'s public NPI profile is in an active state.
What kind of provider is DR. CASSIDY DAVIS (PT, DPT)?
The page reflects Physical Therapist for DR. CASSIDY DAVIS (PT, DPT). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CASSIDY DAVIS (PT, DPT)?
The snapshot lists Valrico, Florida for DR. CASSIDY DAVIS (PT, DPT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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