NPIMap

Organization Active NPI

Alycam Inc

Doing business as Pro Rehabilitation Services

  • Physical Therapist
  • Hanover, PA
National Provider Identifier
1861578460
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ALYCAM INC
Doing business as
Pro Rehabilitation Services
Practice address
87 Oxford St
Hanover, PA 18706
Phone
(570) 825-3909
Fax
(570) 825-8939
NPI assigned
Oct 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Don R Cassetori
Title
Business MGR Treas
Phone
(570) 823-7761

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

87 Oxford St
Hanover, PA 18706

Mailing address

1086 Route 315
Plains, PA 18702
Phone (570) 823-7761

Other identifiers 5

IdentifierTypeStateIssuer
5234560OtherPAAETNA US HEALTHCARE
325504OtherPAHEALTH AMERICA HEALTH INS
50025209OtherPACAPITAL BLUE CROSS BLUE
1505622OtherPAHIGHMARK BLUE CROSS BLUE
61915OtherPAGEISINGER

Other names 1

  • Pro Rehabilitation Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231206000313 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032568886 Receives reassigned benefits from 48 practitioners
Practice locations: Hanover Township, PA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861578460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 ROUTE 315",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-823-7761",
            "fax_number": "570-822-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 OXFORD ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "18706",
            "telephone_number": "570-825-3909",
            "fax_number": "570-825-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYCAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CASSETORI",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MGR TREAS",
        "authorized_official_telephone_number": "570-823-7761",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "5234560",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HEALTH INS",
            "identifier": "325504",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS BLUE",
            "identifier": "50025209",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE",
            "identifier": "1505622",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "61915",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.