Active NPI
Solomon Medrano Caddauan, P.T.
- Orthopedic Physical Therapist
- Port Chester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 014562
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014562 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| True Way Physical Therapy, P.C. | Current | 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.
-
- Physical Therapy Clinic/Center
- Port Chester, NY
- NPI 1609866896
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Developmental Disabilities Clinic/Center
- Brewster, NY
- NPI 1043335284
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.