Individual provider Active NPI

Caitlyn Davis, PT, DPT

  • Physical Therapist
  • Centereach, NY
National Provider Identifier
1366328155
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054831 Issued in NY
Practice address
141 Mark Tree Rd
Centereach, NY 11720-2221
Phone
(631) 467-4235
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 054831 NY Primary

Addresses

Primary practice location

141 Mark Tree Rd
Centereach, NY 11720-2221

Mailing address

15 Mark Dr
Holbrook, NY 11741-5810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113000281 NY Practitioner - Physical Therapist in Private Practice 7618453382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Spagnoli Physical Therapy PCGroup PAC ID 1254595200, 11 clinicians
Balanced Gait Physical Therapy PCGroup PAC ID 8123368875, 3 clinicians

Practice addresses (Care Compare)

141 Mark Tree Rd
Centereach, NY 11720-2221
Phone (631) 467-4235

160 Commack Rd
Suite LL3
Commack, NY 11725-3412
Phone (631) 338-4073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054831NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Spagnoli Physical Therapy, PC Physical Therapist CurrentSince Dec 17, 2025 Accepting new patients
Balanced Gait Physical Therapy P.C CurrentSince Mar 26, 2026 Accepting new patients

Locations

141 Mark Tree Rd
Centereach, NY 11720
Phone (631) 251-7577

160 Commack Rd
Ste LL3
Commack, NY 11725
Phone (516) 446-4450

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.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1366328155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MARK DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117415810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MARK TREE RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202221",
            "telephone_number": "631-467-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAITLYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.