NPIMap

Organization Active NPI

Michael Caruso PT PA

  • Physical Therapist
  • Highland, MD
National Provider Identifier
1750413837
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15253 Issued in MD
Legal business name
MICHAEL CARUSO PT PA
Practice address
RT 108 and RT 216 (B.618)
Highland, MD 20777
Phone
(410) 418-4060
Fax
(443) 407-4466
NPI assigned
Mar 12, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Michael Leon Caruso, P.T.NPI 1215328760
Title
Owner
Phone
(410) 418-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 15253 MD Primary

Addresses

Primary practice location

RT 108 and RT 216 (B.618)
Highland, MD 20777

Mailing address

PO Box 618
Highland, MD 20777-0618
Phone (410) 418-4060

Other identifiers 5

IdentifierTypeStateIssuer
35032204OtherMDCAREFIRST PPO
G0021OtherWORKER'S COMP
H807OtherMDCAREFIRST HMO
2662648OtherMDAETNA HMO
4401432OtherMDAETNA PPO

Other names 1

  • The Caruso Method Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750413837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207770618",
            "telephone_number": "410-418-4060",
            "fax_number": "443-407-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 108 AND RT 216 (B.618)",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "20777",
            "telephone_number": "410-418-4060",
            "fax_number": "443-407-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CARUSO PT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-418-4060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST PPO",
            "identifier": "35032204",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "G0021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST HMO",
            "identifier": "H807",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2662648",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4401432",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Caruso Method",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Highland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.