Individual provider Active NPI

James Vaccare, DPT

  • Physical Therapist
  • Cumberland, MD
National Provider Identifier
1710572839
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
12502 Willowbrook Rd Ste 590
Cumberland, MD 21502-6594
Phone
(240) 964-8631
NPI assigned
Mar 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 Primary

Addresses

Primary practice location

12502 Willowbrook Rd Ste 590
Cumberland, MD 21502-6594

Mailing address

900 Castlegate Cir
Greensburg, PA 15601-8525
Phone (724) 757-8113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211104001927 MD Practitioner - Physical Therapist in Private Practice 1557759941 Reassigns benefits to 1 organization
I20220506000670 NC Practitioner - Physical Therapist in Private Practice 1557759941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince Oct 1, 2021 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Oct 1, 2021 Accepting new patients
Carolina Orthopaedic & Sports Medicine Center PA CurrentSince Apr 15, 2022 Accepting new patients
Carolina Orthopaedic & Sports Medicine Center PA CurrentSince Apr 15, 2022 Accepting new patients
Precision Orthopedics and Sports Medicine Current Accepting new patients

Locations

12414 Naves Cross Rd NE
Cumberland, MD 21502
Phone (240) 808-8482

12502 Willowbrook Rd
Ste 590
Cumberland, MD 21502
Phone (240) 964-8631

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

2345 Court Dr
Gastonia, NC 28054
Phone (704) 833-3103

620 Summit Crossing Pl
Ste 108
Gastonia, NC 28054
Phone (704) 865-0077

Interoperability endpoints

  • Direct secure messaging: james.vaccaredpt.p1@direct.cosmc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1710572839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CASTLEGATE CIR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156018525",
            "telephone_number": "724-757-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 590",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026594",
            "telephone_number": "240-964-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARE",
        "first_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.

Verify at the official NPI Registry.