Cameron John Massumi, PT, DPT, CMPTPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213180 Issued in VA

Practice address

46558 Broadspear Ter
Sterling, VA 20165-3217

NPI assigned

Oct 3, 2019

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virtual Physio, LLC

  • Physical Therapist
  • Chantilly, VA
  • NPI 1023622438
  NPD Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1912548629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46558 BROADSPEAR TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20165",
            "telephone_number": "703-828-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46558 BROADSPEAR TER",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201653217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15201 Shady Grove Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503217",
            "country_code": "US",
            "telephone_number": "410-365-3822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSUMI",
        "first_name": "CAMERON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CMPTPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28089",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarai Martinez
• Alexis Martohue
• Aryan Mashid, OD
• Madeleine Ruth Victoria Masi, OTR/L
• Laurisa A Mason
• Virginia Grace Matheson, MD
• Donna Matthias, PHARMD
• Sara Rachelle Maurakis, LPC
• May & Hettler, O.D., PLLC
• John Patrick May, M.D.

• Physical Therapist in Sterling, VA
• Providers in Sterling, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.