NPIMap

Organization Active NPI

Ann Cassetta, MPT, GTS, LLC

  • Physical Therapy Clinic/Center
  • Lexington Park, MD
National Provider Identifier
1972180479
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ANN CASSETTA, MPT, GTS, LLC
Practice address
22776 Three Notch Rd Ste 102
Lexington Park, MD 20653-3369
Phone
(301) 880-9000
Fax
(301) 880-9010
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Mrs. Ann Marie Cassetta, MPT, GTSNPI 1144298779
Title
PT/Owner
Phone
(301) 904-1922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

22776 Three Notch Rd Ste 102
Lexington Park, MD 20653-3369

Mailing address

22776 Three Notch Rd Ste 102
Lexington Park, MD 20653-3369
Phone (301) 880-9000

Other practice location 1

22952 S Pembrook Dr
Hollywood, MD 20636-4204
Phone (301) 904-1922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210326002239 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527475136 Receives reassigned benefits from 3 practitioners
Practice locations: Lexington Park, MD

National Provider Directory

National Provider Directory

Locations

22776 Three Notch Rd
Ste 102
Lexington Pk, MD 20653
Phone (301) 880-4833

Practitioners & affiliated clinicians

Practitioners 9

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1972180479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22776 THREE NOTCH RD STE 102",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533369",
            "telephone_number": "301-880-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22776 THREE NOTCH RD STE 102",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533369",
            "telephone_number": "301-880-9000",
            "fax_number": "301-880-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22952 S Pembrook Dr",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "MD",
            "postal_code": "206364204",
            "country_code": "US",
            "telephone_number": "301-904-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANN CASSETTA, MPT, GTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "CASSETTA",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "301-904-1922",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT, GTS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.