Theresa Mary Cacciola, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042494-1 Issued in NY

Practice address

41 Oconnor Rd
Fairport, NY 14450-1327

Phone

(585) 249-7094

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hearing and Speech Center of Rochester Inc.

  dba Rochester Hearing and Speech Center

  • Audiologist
  • Rochester, NY
  • NPI 1548222821
  NPD
• Matson Therapy, LLC

  dba Black Hills Physical Therapy

  • Physical Therapist
  • Spearfish, SD
  • NPI 1710565684
  NPD
• Rochester Hearing and Speech Center

  • Early Intervention Provider Agency
  • Rochester, NY
  • NPI 1932387131
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1578064747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 OCONNOR RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501327",
            "telephone_number": "585-249-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 OCONNOR RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501327",
            "telephone_number": "585-249-7094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Elmwood Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146203042",
            "country_code": "US",
            "telephone_number": "585-271-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACCIOLA",
        "first_name": "THERESA",
        "middle_name": "MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042494-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Elaine Burkland, RN
• Kyla Burst, RDN
• Sara O Bush
• Amy Lauren Butka, OTR/L
• C&L Perfect Image, Inc.
• Darcy Lee Cafiero, RN
• Joshua James Cahill, PHARMD
• Lori Calcagni, MS ED.
• Sara A Calus, PT, DPT
• Alicia Campbell

• Physical Therapist in Fairport, NY
• Providers in Fairport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.