Individual provider Active NPI

Caitlyn O'Neil Smith, PT, DPT

  • Physical Therapist
  • Ann Arbor, MI
National Provider Identifier
1063921278
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018385 Issued in MI
Practice address
4765 Jackson Rd Ste B
Ann Arbor, MI 48103-1847
Phone
(734) 926-4710
NPI assigned
Sep 20, 2017
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0015179 CO
Physical Therapist 225100000X 5501018385 MI Primary

Addresses

Primary practice location

4765 Jackson Rd Ste B
Ann Arbor, MI 48103-1847

Mailing address

2861 S Utica St
Denver, CO 80236-2104
Phone (517) 442-5669

Other practice location 1

8101 E Lowry Blvd Ste 220
Denver, CO 80230-7195
Phone (720) 514-0751

Other identifiers 2

IdentifierTypeStateIssuer
PTL.0015179OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO
5501018385OtherMIMICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BOARD OF PHYSICAL THERAP

Other names 1

  • Caitlyn O'Neil Owens Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611000898 MI Practitioner - Physical Therapist in Private Practice 3577829969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Hands Therapy LTDGroup PAC ID 6608855747, 15 clinicians

Practice addresses (Care Compare)

58 Parkland PLZ
Suite 100
Ann Arbor, MI 48103-6208
Phone (734) 222-8515

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018385MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jun 10, 2019 Accepting new patients
Healing Hands Therapy LTD Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jun 10, 2019 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist PastSince Jun 5, 2018 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4765 Jackson Rd
Ste B
Ann Arbor, MI 48103
Phone (734) 926-4710

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

58 Parkland Plz
Ste 100
Ann Arbor, MI 48103
Phone (734) 222-8515

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

Organizations & group practices 4

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1063921278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 S UTICA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362104",
            "telephone_number": "517-442-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 JACKSON RD STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031847",
            "telephone_number": "734-926-4710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 E Lowry Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "720-514-0751",
            "fax_number": "303-840-7326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAITLYN",
        "middle_name": "O'NEIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015179",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO",
            "identifier": "PTL.0015179",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BOARD OF PHYSICAL THERAP",
            "identifier": "5501018385",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "OWENS",
            "middle_name": "O'NEIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.