Organization Active NPI

On the Vertigo, LLC

  • Physical Therapy Clinic/Center
  • Hollis, NH
National Provider Identifier
1558130963
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ON THE VERTIGO, LLC
Practice address
1 Depot Rd
Hollis, NH 03049-6557
Phone
(781) 789-0138
NPI assigned
Dec 27, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Katherine Rose Cavallaro, DPTNPI 1215417712
Title
Owner/Manager
Phone
(781) 789-0138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1 Depot Rd
Hollis, NH 03049-6557

Mailing address

PO Box 682
Hollis, NH 03049-0682
Phone (781) 789-0138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240402003120 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335587989 Receives reassigned benefits from 1 practitioner
Practice locations: Hollis, NH
O20250204001109 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335587989 Receives reassigned benefits from 1 practitioner
Practice locations: Newburyport, MA

National Provider Directory

National Provider Directory

Locations

4 Market Pl
Unit 3
Hollis, NH 03049
Phone (781) 789-0138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1558130963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030490682",
            "telephone_number": "781-789-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEPOT RD",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496557",
            "telephone_number": "781-789-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE VERTIGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "CAVALLARO",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "781-789-0138",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.