Individual provider Active NPI

Brian Samuel Cammarota, PT, ATC

  • Sports Physical Therapist
  • Conshohocken, PA
National Provider Identifier
1386733665
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT024575 Issued in PA
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

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT024575PAMDOrthopedic Physical Therapist
RT002109APAMDAthletic 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.

Verify at the official NPI Registry.