Active NPI
On the Vertigo, LLC
- Physical Therapy Clinic/Center
- Hollis, NH
National Provider Identifier
1558130963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Rose Cavallaro, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.