Individual provider Active NPI

Ann Marie Cassetta, MPT

  • Physical Therapist
  • Lexington Park, MD
National Provider Identifier
1144298779
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18512 Issued in MD
Practice address
22776 Three Notch Rd Ste 102
Lexington Park, MD 20653-3369
Phone
(301) 880-9000
Fax
(301) 880-9010
NPI assigned
Mar 9, 2006
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 18512 MD Primary

Addresses

Primary practice location

22776 Three Notch Rd Ste 102
Lexington Park, MD 20653-3369

Mailing address

22952 S Pembrook Dr
Hollywood, MD 20636-4204
Phone (301) 475-1887

Other practice location 1

22952 S Pembrook Dr
Hollywood, MD 20636-4204
Phone (301) 904-1922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081217000286 MD Practitioner - Physical Therapist in Private Practice 8426087909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ann Cassetta, MPT, GTS, LLCGroup PAC ID 8527475136, 2 clinicians

Practice addresses (Care Compare)

22776 Three Notch Rd
Suite 102
Lexington Park, MD 20653-3369
Phone (301) 880-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Nov 5, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Nov 5, 2018 Accepting new patients
Ann Cassetta, MPT, GTS, LLC Physical Therapist CurrentSince Mar 20, 2021 Accepting new patients
Pax River Counseling, LLC PastSince Mar 20, 2021 Accepting new patients
Calvert Physical Therapy and Sports Fitness Ctr. Physical Therapist Past Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

40845 Merchants Ln
Leonardtown, MD 20650
Phone (240) 530-8188

22776 Three Notch Rd
Ste 102
Lexington Pk, MD 20653
Phone (301) 880-4833

Organizations & group practices 6

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1144298779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22952 S PEMBROOK DR",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364204",
            "telephone_number": "301-475-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22776 THREE NOTCH RD STE 102",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533369",
            "telephone_number": "301-880-9000",
            "fax_number": "301-880-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22952 S Pembrook Dr",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "MD",
            "postal_code": "206364204",
            "country_code": "US",
            "telephone_number": "301-904-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSETTA",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.