Active NPI
Caitlyn Elizabeth Farrell, PT, DPT.
- Physical Therapist
- Brandon, FL
National Provider Identifier
1336905900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41303
- Practice address
- 206 Ridgewood Ave
Brandon, FL 33510-4617 - Phone
- (813) 662-1060
- NPI assigned
- Feb 22, 2024
- Last updated
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 41303 | FL | Primary |
Addresses
Primary practice location
206 Ridgewood Ave
Brandon, FL 33510-4617
Mailing address
6207 S West Shore Blvd Apt 5063
Tampa, FL 33616-1669
Phone (570) 445-1587
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | WebPT | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41303 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Services Inc | Past | Accepting new patients | |
| Pediatric Therapy Services, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Lakeland, FL
- NPI 1407834021
-
- Clinic/Center
- Brandon, FL
- NPI 1871769349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1336905900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6207 S WEST SHORE BLVD APT 5063",
"city": "TAMPA",
"state": "FL",
"postal_code": "336161669",
"telephone_number": "570-445-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 RIDGEWOOD AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104617",
"telephone_number": "813-662-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "CAITLYN",
"middle_name": "ELIZABETH",
"credential": "PT, DPT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "41303",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT",
"affiliation": "N",
"endpointDescription": "EMR System",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website",
"address_1": "206 Ridgewood Ave",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335104617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.