Ann Cassetta, MPT, GTS, LLC
Organization Active NPI Physical Therapy Clinic/Center · Lexington Park, MD
NPI 1972180479 · NPPES record last updated Mar 29, 2022
Key facts
- NPI
- 1972180479
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ann Marie Cassetta, MPT, GTS
- Title
- PT/Owner
- Phone
- (301) 904-1922
Practitioners 9
-
Ann Marie Cassetta, MPT
-
Bonnie L Torres, P.T.
-
Brittanny Ryan, LCPC
-
Charity Ann Humm, LGPC
-
Bridget Louise Mixon, MSW
-
Carolyn Lantzy Nelson, LCSW-C, CAC-AD
-
Elizabeth L Ramsey, LCSW-C, LCSW
-
Helena L Weisl, LCSW-C, LP,CAADC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
22776 Three Notch Rd
Ste 102
Lexington Pk, MD 20653
Phone (301) 880-4833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
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
Other providers in Lexington Park, MD
- Acknowledge, Restore, and Grow LLC
- Amin and Strouth DDS PA
- Vivek M Amin
- Karla Anguiano
- William E Arick
- Sydney Armitage
- Bay Dental Group, L.L.C.
- Tara Nicole Bean
- Susan Bearns
All providers in Lexington Park, MD · Physical Therapy Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.