NPIMap

Joseph Cassaro III, DPT

Individual provider Active NPI Physical Therapist · Fort Drum, NY

NPI 1861085151 · NPPES record last updated Jun 10, 2025

Key facts

NPI
1861085151
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT37350 (FL)
Practice address
11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone
(335) 772-4024
NPI assigned
Feb 17, 2021
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT37350FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Spine and Sports Physical Therapy LP Physical Therapist Current
since Dec 18, 2022		 Accepting new patients

Locations

182 Butler St
Wilkes Barre, PA 18702
Phone (570) 970-0402

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X PT37350 FL Yes

Addresses

Primary practice location

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Mailing address

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone (335) 772-4024

Other providers in Fort Drum, NY

All providers in Fort Drum, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.