Individual provider Active NPI

Cary Michael Caulfield, PT CSCS

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1205844206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21728 Issued in CA
Practice address
1308 28TH St
Sacramento, CA 95816
Phone
(916) 446-1497
Fax
(916) 446-5959
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT21728 CA Primary

Addresses

Primary practice location

1308 28TH St
Sacramento, CA 95816

Mailing address

1308 28TH St
Sacramento, CA 95816-6002
Phone (916) 580-3463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000613 CA Practitioner - Physical Therapist in Private Practice 2062450497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Physical Therapy Center IncGroup PAC ID 5294785218, 4 clinicians

Practice addresses (Care Compare)

2033 Howe Ave
Suite 110
Sacramento, CA 95825-0182
Phone (916) 446-1497

8211 Sierra College Blvd
Suite 400
Roseville, CA 95661-9405
Phone (916) 782-2761

9370 Studio CT
Suite 130
Elk Grove, CA 95758-8048
Phone (916) 714-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21728CAMDPhysical Therapist
21728CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Physical Therapy Center Inc Physical Therapist CurrentSince Mar 29, 2005 Accepting new patients

Locations

9370 Studio Ct
Ste 130
Elk Grove, CA 95758
Phone (916) 714-1177

8211 Sierra College Blvd
Ste 400
Roseville, CA 95661
Phone (916) 782-2761

2033 Howe Ave
Ste 110
Sacramento, CA 95825
Phone (916) 446-1497

2288 Auburn Blvd
Ste 107
Sacramento, CA 95821
Phone (916) 446-1497

1308 28th St
Sacramento, CA 95816
Phone (916) 446-1497

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205844206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 28TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166002",
            "telephone_number": "916-580-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 28TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-446-1497",
            "fax_number": "916-446-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULFIELD",
        "first_name": "CARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.