Kaitlin Squier, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

64205 Issued in OR

Practice address

3575 Donald St Ste 260
Eugene, OR 97405-4744

Phone

(541) 255-6400

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Functional Foundations Pediatric Therapy PLLC

  • Pediatric Physical Therapist
  • Eugene, OR
  • NPI 1730727116

  Single Specialty

  NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1154097384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 REGENT RD UNIT 806",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664641",
            "telephone_number": "920-858-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 DONALD ST STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054744",
            "telephone_number": "541-255-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIER",
        "first_name": "KAITLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64205",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "64205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springwell Birth Center
• Springwell Chiropractic Center LLC
• Springwell Health Center LLC
• William B Sproul, DMD
• Rebecca Ann Spuller, LCSW
• Thomas Charles Sroka, MD
• Jamie St Cyr
• St. Rita Psychiatry LLC
• Donald Michael St.Clair, L.M.T.
• Holly Rae St.Lawrence, NTP, CPT, CFG

• Pediatric Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Pediatric Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.