Caitlin Jean Bagot, PTA
Individual provider Active NPI Physical Therapy Assistant · Littlestown, PA
NPI 1194237362 · NPPES record last updated Nov 19, 2019
Key facts
- NPI
- 1194237362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TEI005354 (PA)
- Practice address
- 790 W King St Ste 1
Littlestown, PA 17340-1457 - Phone
- (717) 359-1928
- Fax
- (717) 359-1929
- NPI assigned
- Oct 28, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A4826 | MD | MD | Physical Therapy Assistant |
| TEI005354 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A4826 | MD | |
| Physical Therapy Assistant | 225200000X | TEI005354 | PA | Yes |
Addresses
Primary practice location
790 W King St Ste 1
Littlestown, PA 17340-1457
Mailing address
18 Ringneck TRL
Fairfield, PA 17320-9600
Phone (717) 479-2087
Other practice location 1
56 W Frederick St
Walkersville, MD 21793-8254
Phone (301) 898-4320
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All providers in Littlestown, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.