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

Matthew Cacciatore III, DPT

Individual provider Physical Therapist · NPI 1962018291

Matthew Cacciatore III, DPT is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2020, 6 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Northwest Dr, Farmingdale, NY 11735-4935 — (516) 420-2900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046230 (NY)

Record details

NPI number1962018291
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020
Mailing address475 Northern Blvd Ste 11, Great Neck, NY 11021-4802

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Great Neck