Andrew Robert Caccamo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047782 Issued in NY

Practice address

1041 W Jericho Tpke
Smithtown, NY 11787-3225

Phone

(631) 864-6008

NPI assigned

Oct 15, 2021

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Sports Physiotherapy PCGroup PAC ID 4082503040, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Island Sports Physiotherapy, PC

  • Physical Therapy Clinic/Center
  • East Northport, NY
  • NPI 1366482408
  Medicare reassignment Care Compare group NPD
• Island Sports Physical Therapy of Smithtown, P.C.

  • Physical Therapy Clinic/Center
  • Nesconset, NY
  • NPI 1639109770
  Medicare reassignment NPD
• Ny Physical Therapy & Wellness LLC

  • Specialist
  • Franklin Square, NY
  • NPI 1659355956

  Physical Therapist

  NPD

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1619630738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873225",
            "telephone_number": "631-864-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCAMO",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Corson Burton, LMSW
• Jami Busuttil, L.C.A.T.
• Marni Butchkoski, LMSW
• Jessica Butindari, MS
• C.J. Allen OT Upper Extremity & Hand Therapy, PLLC
• Gina Cacciuttolo
• Michaele Anne Cahill, LMSW
• Paul John Caiati, MD
• Joseph Calandrino, M.D.
• Torri Calcagno, MASTERS IN SPEC. ED.

• Physical Therapist in Smithtown, NY
• Providers in Smithtown, 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 15, 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.