Individual provider Active NPI

Cassidy L Caito, PT, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1124692280
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019148 Issued in OH
Practice address
3107 W Camp Wisdom Rd Ste 131
Dallas, TX 75237-2600
Phone
(214) 339-4533
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019148 OH Primary
Physical Therapist 225100000X CP025025T TX

Addresses

Primary practice location

3107 W Camp Wisdom Rd Ste 131
Dallas, TX 75237-2600

Mailing address

3107 W Camp Wisdom Rd Ste 131
Dallas, TX 75237-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105003631 AZ Practitioner - Physical Therapist in Private Practice 8022418326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Orthopedic Physical Therapy PLLCGroup PAC ID 9638177272, 23 clinicians

Practice addresses (Care Compare)

1781 E Hwy 69 28
Prescott, AZ 86301
Phone 6232426908251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019148OHMDPhysical Therapist
CP025025TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Orthopedic Physical Therapy, PLLC CurrentSince Aug 31, 2024 Accepting new patients

Locations

23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260

14557 W Indian School Rd
Ste 500
Goodyear, AZ 85395
Phone (623) 229-7808

14557 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 229-7808

1781 E State Route 69
Ste 28
Prescott, AZ 86301

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1124692280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 W CAMP WISDOM RD STE 131",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 W CAMP WISDOM RD STE 131",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372600",
            "telephone_number": "214-339-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAITO",
        "first_name": "CASSIDY",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019148",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP025025T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.