Individual provider Active NPI

Caroline P. McCaffery, OTR/L

  • Occupational Therapist
  • Alexandria, VA
National Provider Identifier
1831967033
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119011073 Issued in VA
Practice address
5400 Shawnee Rd Ste 104
Alexandria, VA 22312-2300
Phone
(703) 256-4830
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01160300 NJ
Occupational Therapist 225X00000X 0119011073 VA Primary

Addresses

Primary practice location

5400 Shawnee Rd Ste 104
Alexandria, VA 22312-2300

Mailing address

5400 Shawnee Rd Ste 104
Alexandria, VA 22312-2300
Phone (908) 956-1054

Other practice location 1

333 N Broad St
Elizabeth, NJ 07208-3706
Phone (732) 313-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240113000815 NJ Practitioner - Occupational Therapist in Private Practice 3971955097 Reassigns benefits to 1 organization
I20251110001450 VA Practitioner - Occupational Therapist in Private Practice 3971955097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

333 N Broad St
Elizabeth, NJ 07208-3706
Phone (731) 366-3443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119011073VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. Occupational Therapist CurrentSince Oct 2, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 2, 2025 Accepting new patients
Sportsmed PT LLC Occupational Therapist CurrentSince Jan 3, 2024 Accepting new patients

Locations

333 N Broad St
Elizabeth, NJ 07208
Phone (731) 366-3443

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

20925 Professional Plz
Ste 300
Ashburn, VA 20147
Phone (703) 544-7171

Organizations & group practices 3

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1831967033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 SHAWNEE RD STE 104",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122300",
            "telephone_number": "908-956-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 SHAWNEE RD STE 104",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122300",
            "telephone_number": "703-256-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072083706",
            "country_code": "US",
            "telephone_number": "732-313-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAFFERY",
        "first_name": "CAROLINE",
        "middle_name": "P.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01160300",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119011073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.