Cassidy Rae Keshvani · Cassidy Rae Davidson · Surgical Physician Assistant

5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5473

Overview

Cassidy Rae Keshvani is a Surgical Physician Assistant practicing in Fort Worth, Texas. The National Provider Identifier (NPI) is #1255710794, which was assigned on May 28, 2015, and the registration record was last updated on March 17, 2026. The practitioner's main practice location is at 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5473; the contact telephone number is 8178549969, and the fax number is 8178549965. The primary taxonomy of Cassidy Rae Keshvani is Surgical Physician Assistant (363AS0400X), with specialization in Surgical. Cassidy Rae Keshvani is licensed to practice in the state of Texas (#PA11301).

Provider Information

NPI 1255710794
Entity Type Individual
Provider Name CASSIDY RAE KESHVANI
Other Name CASSIDY RAE DAVIDSON
(Former Name)
Gender Female
Credential PA-C
Other Credential PA-C
Practice Address 5900 Altamesa Blvd Ste 100
Fort Worth
TX 76132-5473
Practice Telephone 8178549969
Practice Fax Number 8178549965
Mailing Address 5900 Altamesa Blvd Ste 100
Fort Worth
TX 76132-5475
Mailing Telephone 8178549969
Mailing Fax Number 8036040854
Certification Date 2026-03-17
Enumeration Date 2015-05-28
Last Update Date 2026-03-17
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 4789997917
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name CASSIDY RAE KESHVANI
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name ORTHOLONESTAR PLLC
Address 3800 Gaylord Pkwy
Suite 710
Frisco
TX 75034-9635

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363AS0400XPhysician AssistantSurgicalPA11301TX

Secondary Practice Locations

AddressTelephoneFax
640 Keller Parkway Suite 100, Keller, TX 76248255981785499698336040854
721 Keller Pkwy Ste 107B, Keller, TX 76248240481785499698336040854

Taxonomy Information

Primary Taxonomy

Code 363AS0400X
Taxonomy Surgical Physician Assistant
Classification Physician Assistant
Specialization Surgical
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Allyson Jaide Campbell 2300 Manchester Expy Ste 1009, Columbus, GA 31904-6877Surgical Physician Assistant2026-03-26
Thrive Orthopedics & Rheumatology 1272 Garrison Dr, Murfreesboro, TN 37129-2598Surgical Physician Assistant2026-03-12
Texas Independent First Assist 1901 Fm 718, Aurora, TX 76078-5213Surgical Physician Assistant2026-02-27
Rileigh Stringer Whitmore 1515 River Pl Ste 365, Braselton, GA 30517-5611Surgical Physician Assistant2026-04-08
Mostafa Karam Sorour Mahmoud 1612 Central Ave, Far Rockaway, NY 11691-4002Surgical Physician Assistant2026-02-23
Krystah Gabriella Cantu 8210 Mid Cities Blvd Ste 120, North Richland Hills, TX 76180-4701Surgical Physician Assistant2026-03-04
Alexandria Octavia Aceves 2501 N Blackwelder Ave, Oklahoma City, OK 73106-1402Surgical Physician Assistant2026-04-09
Jack Monroe Visca 49 Cleveland St Ste 350, Crossville, TN 38555-2898Surgical Physician Assistant2026-04-08
Adore Aesthetics LLC 603 Sw 15th St, Boynton Beach, FL 33426-4602Surgical Physician Assistant2026-02-27
Kalli Kossick 4750 Waters Ave Ste 202, Savannah, GA 31404-6278Surgical Physician Assistant2026-04-09
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Location Information

Street Address 5900 ALTAMESA BLVD STE 100
City FORT WORTH
State TX
Zip Code 76132-5473
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
David Bradley Minor 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5475Adult Reconstructive Orthopaedic Surgery Physician2012-05-29
Allison Ganter 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5473Physician Assistant2022-02-26
Megan Northcutt 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5475Surgical Physician Assistant2024-02-15
Holly Lauren Ramos 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5475Physician Assistant2014-10-08
Damond Blueitt 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5473Sports Medicine (Family Medicine) Physician2008-07-14
Rachel Marie Holland · Rachel Smith 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5475Physician Assistant2010-02-02
Dean N Papaliodis 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5473Sports Medicine (Orthopaedic Surgery) Physician2010-04-10
Joshua James Allred 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5475Surgical Physician Assistant2013-07-12
Curtis Anderson Bush 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5473Sports Medicine (Orthopaedic Surgery) Physician2009-05-21
George Franklin Lebus V 5900 Altamesa Blvd Ste 100, Fort Worth, TX 76132-5473Orthopaedic Surgery Physician2011-04-21
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Corinthian Reference Lab LLC 6201 Southwest Blvd Ste 100, Benbrook, TX 76132-1068Anatomic Pathology & Clinical Pathology Physician2010-09-24
Meghan Lynn Liebum 4480 Bryant Irvin Rd, Fort Worth, TX 76132-1064Nurse Practitioner2016-07-12
Emily Conner 6211 Southwest Blvd, Benbrook, TX 76132-1080Behavior Technician2026-03-03
Bjs Wholesale Club Inc 7241 Harris Pkwy, Fort Worth, TX 76132Eyewear Supplier2026-02-06
Anaiah Delores Rodriguez 6211 Southwest Blvd, Benbrook, TX 76132-1080Behavior Technician2025-11-10
Sydney Miley 6211 Southwest Blvd, Benbrook, TX 76132-1080Behavior Technician2026-04-02
Darren Lackan M.D., P.A. 6844 Harris Parkway, Ft. Worth, TX 76132Endocrinology, Diabetes & Metabolism Physician2007-01-29
Cary Leonard Clark Sr. 6461 Southwest Blvd, Ft Worth, TX 76132Counselor2006-08-23
Sam's Club Optical 4400 Bryant Irvin Rd, Fort Worth, TX 76132-1064Optician2006-09-29
Global Rehab Fort Worth, Lp 6601 Harris Parkway, Fort Worth, TX 76132Rehabilitation Hospital2008-05-16
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.