Individual provider Active NPI

Caitlin Leary, PT, DPT

  • Physical Therapist
  • Stoneham, MA
National Provider Identifier
1619419199
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19187 Issued in MA
Practice address
92 Montvale Ave
Stoneham, MA 02180
Phone
(781) 279-8433
Fax
(781) 279-8436
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19187 MA Primary

Addresses

Primary practice location

92 Montvale Ave
Stoneham, MA 02180

Mailing address

92 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-8433

Other practice location 1

405 Pearl St
Malden, MA 02148-6644
Phone (781) 321-8785

Other names 1

  • Caitlin Tassone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003130 MA Practitioner - Physical Therapist in Private Practice 3971875105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

600 Broadway
Saugus, MA 01906-3201
Phone (781) 961-3370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedic Associates Inc CurrentSince Jun 19, 2023 Accepting new patients
Coastal Orthopedic Associates Inc Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

152 Conant St
Ste 301
Beverly, MA 01915
Phone (978) 927-3040

99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

600 Broadway
Saugus, MA 01906
Phone (781) 231-2330

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1619419199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-279-8433",
            "fax_number": "781-279-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-279-8433",
            "fax_number": "781-279-8436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021486644",
            "country_code": "US",
            "telephone_number": "781-321-8785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEARY",
        "first_name": "CAITLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "TASSONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.