Marc D. Cavallino, M.P.T., O.C.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04852 Issued in LA

Practice address

1516 River Oaks Rd W
Harahan, LA 70123-2163

Phone

(504) 733-2111

Fax

(504) 733-5999

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Isr Physical Therapy of HoumaGroup PAC ID 4789621079, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Isr Physical Therapy of Houma

  dba ISR Physical Therapy

  • Physical Therapist
  • Houma, LA
  • NPI 1194789669
  Medicare reassignment Care Compare group NPD
• Crescent City Physical Therapy

  • Physical Therapist
  • New Orleans, LA
  • NPI 1043259005
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972696169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 RIVER OAKS RD W",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232163",
            "telephone_number": "504-733-2111",
            "fax_number": "504-733-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 RIVER OAKS RD W",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232163",
            "telephone_number": "504-733-2111",
            "fax_number": "504-733-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLINO",
        "first_name": "MARC",
        "middle_name": "D.",
        "credential": "M.P.T., O.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Carter, M.ED, LCSW, BACS
• Marlene Ann Carter
• Hunter Caskey, M.D.
• Lisa G Casper, RN
• Lisa Castillon, RN
• Brent Michael Champagne
• Anthony Chappell II, PHARM. D
• Keirstin Charles
• Katherine Signorelli Chepolis, LCSW
• Jeffrey Michael Ciolino, PHARMD

• Physical Therapist in Harahan, LA
• Providers in Harahan, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.