Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cassandra Joann Wigboldy, DPT

Individual provider Physical Therapist · NPI 1962918458

Cassandra Joann Wigboldy, DPT is a Physical Therapist in Private Practice in San Dimas, California. Qualified in 2017, 9 years ago. Practices with Covina Hills Sports Medicine Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1335 Cypress St Ste 100
San Dimas, CA 91773-3538
Phone: (909) 305-1383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT294219 (CA)

Record details

NPI number1962918458
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing addressPo Box 99, San Dimas, CA 91773-0099

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Covina Hills Sports Medicine Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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