Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Robert Caccamo

Individual provider Physical Therapist · NPI 1619630738

Andrew Robert Caccamo is a Physical Therapist in Private Practice in Smithtown, New York. Qualified in 2021, 5 years ago. Practices with Island Sports Physiotherapy PC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

1041 W Jericho Tpke
Smithtown, NY 11787-3225
Phone: (631) 864-6008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 047782 (NY)

Record details

NPI number1619630738
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address1041 W Jericho Tpke, Smithtown, NY 11787-3225

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Island Sports Physiotherapy Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Smithtown