Individual provider Active NPI

Katherine Rose Cavallaro, DPT

  • Physical Therapist
  • Merrimack, NH
National Provider Identifier
1215417712
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4625 Issued in NH
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

Updated by the provider on Dec 13, 2022

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 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, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181012001716 MA Practitioner - Physical Therapist in Private Practice 9638421027 Reassigns benefits to 2 organizations
I20230301002914 NH Practitioner - Physical Therapist in Private Practice 9638421027 Reassigns benefits to 1 organization

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 100Reported as group
Quality
69.3
Improvement activities
40
Cost
80.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23765MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Ear Nose & Throat/Facial Plastic Surgery,P.C. CurrentSince Aug 9, 2018 Accepting new patients
On the Vertigo, LLC Physical Therapist CurrentSince Feb 8, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.