Individual provider Active NPI

Caitlin Somarriba, DPT

  • Physical Therapist
  • Clayton, NC
National Provider Identifier
1124868922
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23180 Issued in NC
Practice address
34 Oleander Dr Ste 101
Clayton, NC 27527-4599
Phone
(919) 746-7256
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 P23180 NC Primary

Addresses

Primary practice location

34 Oleander Dr Ste 101
Clayton, NC 27527-4599

Mailing address

34 Oleander Dr Ste 101
Clayton, NC 27527-4599
Phone (919) 746-7256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227002109 NC Practitioner - Physical Therapist in Private Practice 1759818065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1124868922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR STE 101",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "919-746-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR STE 101",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "919-746-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMARRIBA",
        "first_name": "CAITLIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.