Individual provider Active NPI

Maria Louise Caccamise, DPT

  • Physical Therapist
  • Mount Airy, MD
National Provider Identifier
1275833535
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23444 Issued in MD
Practice address
435 E Ridgeville Blvd # 11
Mount Airy, MD 21771-5217
Phone
(240) 732-2334
Fax
(240) 732-2335
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 23444 MD Primary

Addresses

Primary practice location

435 E Ridgeville Blvd # 11
Mount Airy, MD 21771-5217

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other practice location 1

23 Crossroads Dr Ste 300
Owings Mills, MD 21117-5443
Phone (410) 998-9133

Other practice location 2

7711 Quarterfield Rd
Suite C
Glen Burnie, MD 21061-4492
Phone (410) 487-6447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110125001080 MD Practitioner - Physical Therapist in Private Practice 5092994855 Reassigns benefits to 4 organizations
I20120111000207 DC Practitioner - Physical Therapist in Private Practice 5092994855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1510 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2851
Phone (410) 420-3619

435 E Ridgeville Blvd
Ati Physical Therapy
Mount Airy, MD 21771-5217
Phone (240) 732-2334

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23444MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Canyon, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Red Canyon, LLC Physical Therapist Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 11, 2019 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Oct 4, 2011 Accepting new patients
Red Canyon, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 11, 2019 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients
Ati Holdings, LLC PastSince Feb 4, 2024 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1311 Londontown Blvd
Ste 202
Eldersburg, MD 21784
Phone (443) 920-7002

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

801 Toll House Ave
Ste H3
Frederick, MD 21701
Phone (240) 575-9260

2634 Brandermill Blvd
Gambrills, MD 21054
Phone (410) 721-7201

435 E Ridgeville Blvd
#11
Mount Airy, MD 21771
Phone (240) 732-2334

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 10

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": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1275833535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E RIDGEVILLE BLVD # 11",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715217",
            "telephone_number": "240-732-2334",
            "fax_number": "240-732-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Crossroads Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175443",
            "country_code": "US",
            "telephone_number": "410-998-9133",
            "fax_number": "410-998-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7711 Quarterfield Rd",
            "address_2": "SUITE C",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614492",
            "country_code": "US",
            "telephone_number": "410-487-6447",
            "fax_number": "410-487-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACCAMISE",
        "first_name": "MARIA",
        "middle_name": "LOUISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.