Active NPI
Brian Samuel Cammarota, PT, ATC
- Sports Physical Therapist
- Conshohocken, PA
National Provider Identifier
1386733665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT024575
- Practice address
- 450 Colwell LN
Conshohocken, PA 19428-3625 - Phone
- (484) 253-6139
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT024575 | PA | |
| Athletic Trainer | 2255A2300X | RT002109A | PA | |
| Sports Physical Therapist | 2251S0007X | PT024575 | PA | Primary |
Addresses
Primary practice location
450 Colwell LN
Conshohocken, PA 19428-3625
Mailing address
3012 Sheffield Dr
Plymouth Meeting, PA 19462-7204
Phone (610) 529-9557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT024575 | PA | MD | Orthopedic Physical Therapist |
| RT002109A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1386733665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 SHEFFIELD DR",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194627204",
"telephone_number": "610-529-9557",
"fax_number": "484-450-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 COLWELL LN",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194283625",
"telephone_number": "484-253-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMMAROTA",
"first_name": "BRIAN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT024575",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT002109A",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "PA",
"license": "PT024575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.