Katie Marie Caccamo, PT
Individual provider Active NPI Physical Therapist · Scotia, NY
NPI 1629233457 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1629233457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 86 St Stephens LN W
Scotia, NY 12302-4232 - Phone
- (518) 928-9810
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022220 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John V Murphy Physical Therapy, PC | Specialist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
86 St Stephens LN W
Scotia, NY 12302-4232
Mailing address
86 St Stephens LN W
Scotia, NY 12302-4232
Phone (518) 928-9810
Other providers in Scotia, NY
- Catherine Anne Bryson
- Christopher J Buono
- Francesca N Butler
- Joleen Button
- Wallace Brent Bzdell
- Christine Caffrey
- Tina Marie Campbell
- Cappiello Chiropractic, PLLC
- Nancy Cappiello
- Mary Carlson
All providers in Scotia, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.