Healthcare Provider Details

I. General information

NPI: 1154256923
Provider Name (Legal Business Name): KATELYN CACCAMO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PERRY HWY UNIT 110
HARMONY PA
16037-9200
US

IV. Provider business mailing address

139 N ERIE ST STE 1
MERCER PA
16137-1285
US

V. Phone/Fax

Practice location:
  • Phone: 724-962-7920
  • Fax: 724-662-1858
Mailing address:
  • Phone: 724-962-7920
  • Fax: 724-662-1858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034245
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: