Active NPI
Katherine Rose Cavallaro, DPT
- Physical Therapist
- Merrimack, NH
National Provider Identifier
1215417712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4625
- Practice address
- 11 Continental Blvd Ste a
Merrimack, NH 03054-4341 - Phone
- (603) 424-1950
- Fax
- (603) 424-4749
- NPI assigned
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23765 | MA | |
| Physical Therapist | 225100000X | 4625 | NH | Primary |
Addresses
Primary practice location
11 Continental Blvd Ste a
Merrimack, NH 03054-4341
Mailing address
11 Continental Blvd Ste a
Merrimack, NH 03054-4341
Phone (603) 424-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Depot Rd
Hollis, NH 03049-6557
Phone (781) 789-0138
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.21 of 100
- Quality
- 69.3
- Improvement activities
- 40
- Cost
- 80.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23765 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Ear Nose & Throat/Facial Plastic Surgery,P.C. | Current | Accepting new patients | |
| On the Vertigo, LLC | Physical Therapist | Current | Accepting new patients |
Locations
198 Massachusetts Ave
North Andover, MA 01845
Phone (978) 685-7550
198 Massachusetts Ave
Ste 103
North Andover, MA 01845
Phone (978) 685-7550
Interoperability endpoints
- https://api.platform.athenahealth.com/6597/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Specialist
- N Andover, MA
- NPI 1437197092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1215417712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CONTINENTAL BLVD STE A",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544341",
"telephone_number": "603-424-1950",
"fax_number": "603-424-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CONTINENTAL BLVD STE A",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544341",
"telephone_number": "603-424-1950",
"fax_number": "603-424-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALLARO",
"first_name": "KATHERINE",
"middle_name": "ROSE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23765",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.