Provider Demographics
NPI:1972180479
Name:ANN CASSETTA, MPT, GTS, LLC
Entity Type:Organization
Organization Name:ANN CASSETTA, MPT, GTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CASSETTA
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, GTS
Authorized Official - Phone:301-904-1922
Mailing Address - Street 1:22776 THREE NOTCH RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-3369
Mailing Address - Country:US
Mailing Address - Phone:301-880-9000
Mailing Address - Fax:
Practice Address - Street 1:22776 THREE NOTCH RD STE 102
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3369
Practice Address - Country:US
Practice Address - Phone:301-880-9000
Practice Address - Fax:301-880-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy