Individual provider Active NPI

Solomon Medrano Caddauan, P.T.

  • Orthopedic Physical Therapist
  • Port Chester, NY
National Provider Identifier
1992795173
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
014562 Issued in NY
Practice address
388 Westchester Ave
Suite 1N
Port Chester, NY 10573-3623
Phone
(914) 481-8777
Fax
(914) 481-8780
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 014562 NY Primary

Addresses

Primary practice location

388 Westchester Ave
Suite 1N
Port Chester, NY 10573-3623

Mailing address

388 Westchester Ave
Suite 1N
Port Chester, NY 10573-3623
Phone (914) 481-8777

Other practice location 1

222 Bloomindale Rd
Suite 307
White Plains, NY 10605-1512
Phone (914) 725-4111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000603 NY Practitioner - Physical Therapist in Private Practice 5496713455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Way Physical Therapy PCGroup PAC ID 5092763219, 2 clinicians

Practice addresses (Care Compare)

388 Westchester Ave
Suite 1Nand10
Port Chester, NY 10573-3650
Phone (914) 725-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014562NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients
True Way Physical Therapy, P.C. CurrentSince Nov 1, 2004 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

388 Westchester Ave
Ste 1N
Port Chester, NY 10573
Phone (914) 481-8777

388 Westchester Ave
Ste 1NAND10
Port Chester, NY 10573
Phone (914) 725-4111

340 Ardsley Rd
Ste 2A
Scarsdale, NY 10583
Phone (914) 725-4111

222 Bloomingdale Rd
Ste 307
White Plains, NY 10605
Phone (914) 725-4111

10 Chester Ave
White Plains, NY 10601
Phone (914) 448-1000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1992795173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 WESTCHESTER AVE",
            "address_2": "SUITE 1N",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733623",
            "telephone_number": "914-481-8777",
            "fax_number": "914-481-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 WESTCHESTER AVE",
            "address_2": "SUITE 1N",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733623",
            "telephone_number": "914-481-8777",
            "fax_number": "914-481-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Bloomindale Rd",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106051512",
            "country_code": "US",
            "telephone_number": "914-725-4111",
            "fax_number": "914-725-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADDAUAN",
        "first_name": "SOLOMON",
        "middle_name": "MEDRANO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "014562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.