Mary Caitlin Cederholm, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305212308 Issued in VA

Practice address

4101 Cox Rd Ste 301
Glen Allen, VA 23060-3320

Phone

(804) 716-0457

Fax

(804) 716-0496

NPI assigned

Jul 26, 2018

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Solutions Limited PartnershipGroup PAC ID 6204154909, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Solutions Limited Partnership

  • Physical Therapist
  • Mechanicsville, VA
  • NPI 1659763050
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1073090668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 COX RD STE 301",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603320",
            "telephone_number": "804-716-0457",
            "fax_number": "804-716-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 COX RD STE 301",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603320",
            "telephone_number": "804-716-0457",
            "fax_number": "804-716-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDERHOLM",
        "first_name": "MARY",
        "middle_name": "CAITLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teagan Cassity, LPC
• Adrianne Castro
• Jesus Emanuel Castro
• Clarisse Cato, DPT
• Sari Cattoni, ATC
• Maila Hizola Celino, PT
• Center for Physical Therapy & Sports Medicine, PC
• Centerwell Senior Primary Care VA PLLC (CenterWell Senior Primary Care-Twin Hickory)
• Central Virginia Disc Center (Richmond Disc Center)
• CH Specialty Services VA LLC

• Physical Therapist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.