Active NPI
Caitlyn Nicole Hager, DPT
- Physical Therapist
- Bismarck, ND
National Provider Identifier
1306154570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1575
- Practice address
- 1655 N Grandview LN
Bismarck, ND 58503-0877 - Phone
- (701) 751-2020
- Fax
- (701) 223-2207
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 37042 | CA | |
| Physical Therapist | 225100000X | 1575 | ND | Primary |
Addresses
Primary practice location
1655 N Grandview LN
Bismarck, ND 58503-0877
Mailing address
1319 Eastwood St
Bismarck, ND 58504-6224
Other names 1
- Caitlyn Nicole Zundel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5120 Stockholm Loop
Bismarck, ND 58503-7505
Phone (701) 751-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 37042 | CA | MD | Physical Therapist |
| 1575 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones Physical Therapy, PC | Current | Accepting new patients | |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
5120 Stockholm Loop
Bismarck, ND 58503
Phone (701) 751-1055
1655 N Grandview Ln
Ste 204
Bismarck, ND 58503
Phone (701) 751-2002
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Bismarck, ND
- NPI 1962523076
-
- Physical Therapist
- Sunnyvale, CA
- NPI 1053320325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1306154570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 EASTWOOD ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585046224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 N GRANDVIEW LN",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030877",
"telephone_number": "701-751-2020",
"fax_number": "701-223-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGER",
"first_name": "CAITLYN",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 37042",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLYN",
"last_name": "ZUNDEL",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.