Individual provider Active NPI

Carolyn Caisse

  • Physical Therapist
  • Amesbury, MA
National Provider Identifier
1083281992
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
110 Haverhill Rd Ste 292
Amesbury, MA 01913-2119
Phone
(978) 834-6392
Fax
(978) 834-6215
NPI assigned
Jun 9, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MA Primary

Addresses

Primary practice location

110 Haverhill Rd Ste 292
Amesbury, MA 01913-2119

Mailing address

576 Broadhollow Rd Ste Proex
Melville, NY 11747-5002
Phone (631) 359-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210916000565 MA Practitioner - Physical Therapist in Private Practice 7517364631 Reassigns benefits to 2 organizations
I20240711002372 NH Practitioner - Physical Therapist in Private Practice 7517364631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Stress Free Physical TherapyGroup PAC ID 9436551231, 4 clinicians

Practice addresses (Care Compare)

229 Billerica Rd
Chelmsford, MA 01824-3631
Phone (978) 391-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5521NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Free Physical Therapy Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Aug 6, 2021 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Aug 6, 2021 Accepting new patients

Locations

110 Haverhill Rd
Ste 292
Amesbury, MA 01913
Phone (978) 834-6392

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

229 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-8400

143 Raymond Rd
Unit 8
Candia, NH 03034
Phone (603) 483-3355

6 Tsienneto Rd
Ste 201
Derry, NH 03038
Phone 6034219959305

89 S Mast St
Goffstown, NH 03045
Phone 6034100096305

576 Broadhollow Rd
Melville, NY 11747

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23285/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1083281992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD STE PROEX",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 292",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132119",
            "telephone_number": "978-834-6392",
            "fax_number": "978-834-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAISSE",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.