Individual provider Active NPI

Caitlin M Naas, PT, DPT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1306388236
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32060 Issued in FL
Practice address
12961 N Main St Ste 201
Jacksonville, FL 32218-2771
Phone
(904) 757-2474
Fax
(904) 757-5541
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 PT32060 FL Primary

Addresses

Primary practice location

12961 N Main St Ste 201
Jacksonville, FL 32218-2771

Mailing address

1325 San Marco Blvd Ste 200
Jacksonville, FL 32207-8566
Phone (904) 686-3111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228000720 FL Practitioner - Physical Therapist in Private Practice 7214218593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32060FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Institute, LLC Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Jacksonville Orthopaedic Institute Inc Physical Therapist Past Accepting new patients
Jacksonville Orthopaedic Institute Inc Physical Therapist PastSince Jan 9, 2017 Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients

Locations

3716 University Blvd S
Ste 4
Jacksonville, FL 32216
Phone (904) 733-8133

231 N New York Ave
Winter Park, FL 32789
Phone (407) 599-3700

Organizations & group practices 4

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1306388236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078566",
            "telephone_number": "904-686-3111",
            "fax_number": "904-686-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12961 N MAIN ST STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182771",
            "telephone_number": "904-757-2474",
            "fax_number": "904-757-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAAS",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.