Active NPI
Carol Jane Caudill, P. T.
- Physical Therapist
- Lafayette, CO
National Provider Identifier
1386979425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10525
- Practice address
- 380 Empire Rd Ste 230
Lafayette, CO 80026-2677 - Phone
- (720) 890-1091
- Fax
- (720) 890-1098
- NPI assigned
- Oct 7, 2009
- 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 | 10525 | CO | Primary |
Addresses
Primary practice location
380 Empire Rd Ste 230
Lafayette, CO 80026-2677
Mailing address
380 Empire Rd Ste 230
Lafayette, CO 80026-2677
Phone (720) 890-1091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Old Laramie TRL
Unit 100
Lafayette, CO 80026-7019
Phone (303) 685-8747
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10525 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Action Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
380 Empire Rd
Ste 230
Lafayette, CO 80026
Phone (720) 890-1091
150 Old Laramie Trl
Unit 100
Lafayette, CO 80026
Phone (303) 665-8747
Organizations & group practices 1
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 Therapist
- Lafayette, CO
- NPI 1609941434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1386979425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 EMPIRE RD STE 230",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262677",
"telephone_number": "720-890-1091",
"fax_number": "720-890-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 EMPIRE RD STE 230",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262677",
"telephone_number": "720-890-1091",
"fax_number": "720-890-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDILL",
"first_name": "CAROL",
"middle_name": "JANE",
"credential": "P. T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.