Individual provider · Type 1 NPI

Cassidy Wysocki, PTA

Physical Therapy Assistant · Bolingbrook, IL

NPI number 1821948340 Active

Practice location

319 N Bolingbrook Dr
Bolingbrook, IL 60440-1968

Fax (630) 759-0557

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.009951 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1821948340

Cassidy Wysocki, PTA's National Provider Identifier is 1821948340, issued on Feb 3, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bolingbrook, IL. The record was last updated on Feb 3, 2026.