Individual provider Active NPI

Caitlin Souther

  • Physical Therapist
  • Largo, FL
National Provider Identifier
1003511411
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41547 Issued in FL
Practice address
3391 E Bay Dr
Largo, FL 33771-1948
Phone
(727) 238-3062
NPI assigned
Apr 4, 2023
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41547 FL Primary

Addresses

Primary practice location

3391 E Bay Dr
Largo, FL 33771-1948

Mailing address

3391 E Bay Dr
Largo, FL 33771-1948
Phone (727) 238-3062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230503001335 TN Practitioner - Physical Therapist in Private Practice 8729443346 Reassigns benefits to 1 organization
I20240610003275 FL Practitioner - Physical Therapist in Private Practice 8729443346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3391 E Bay Dr
Largo, FL 33771-1948
Phone (865) 776-8761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Max Potential Farragut, LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Max Results Physical Therapy LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

3391 E Bay Dr
Largo, FL 33771
Phone (727) 238-3062

11201 W Point Dr
Ste 104
Knoxville, TN 37934
Phone (865) 392-6001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1003511411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711948",
            "telephone_number": "727-238-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711948",
            "telephone_number": "727-238-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHER",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.

Verify at the official NPI Registry.