Caitlyn M Castonguay

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9234 Issued in SC

Practice address

9225 University Blvd Ste E2C
North Charleston, SC 29406

Phone

(843) 569-4546

Fax

(843) 569-4535

NPI assigned

Aug 2, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caitlyn M Stauffer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All for Kids Pediatric Therapy Clinic

  • Pediatric Occupational Therapist
  • Anchorage, AK
  • NPI 1437370855

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1366995755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 UNIVERSITY BLVD STE E2C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069149",
            "telephone_number": "843-569-4546",
            "fax_number": "843-569-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 UNIVERSITY BLVD STE E2C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-569-4546",
            "fax_number": "843-569-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTONGUAY",
        "first_name": "CAITLYN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "9234",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "STAUFFER",
            "middle_name": "M",
            "credential": "MAIDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel A Caskie, PA-C
• Matthew Theodore Castele, DMD
• Lena Castellanos
• John Vincent Castillo, OD
• Cassandra Castle, LPN
• Hailey Alyssa Castro
• Vincent Bernard Castro, OD
• Lewis Riley Cates, DMD
• Sara S Cathey, MD
• Cathleen Kouvolo LLC

• Physical Therapist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.