Individual provider Active NPI

Caitlin Renee Riley, DPT

  • Physical Therapist
  • Fredericksburg, TX
National Provider Identifier
1396171146
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1232168 Issued in TX
Practice address
1316 S State Highway 16
Fredericksburg, TX 78624
Phone
(830) 997-2001
Fax
(830) 997-0781
NPI assigned
Sep 24, 2013
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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 1232168 TX Primary

Addresses

Primary practice location

1316 S State Highway 16
Fredericksburg, TX 78624

Mailing address

PO Box 2427
Fredericksburg, TX 78624-1906
Phone (830) 997-2001

Other identifiers 1

IdentifierTypeStateIssuer
327040702MedicaidTX

Other names 1

  • Caitlin Renee Dean Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131107000711 TX Practitioner - Physical Therapist in Private Practice 5395970974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Physical Therapy IncGroup PAC ID 4183670441, 16 clinicians

Practice addresses (Care Compare)

703 Hill Country Dr
Suite 202
Kerrville, TX 78028-6161
Phone (930) 896-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Physical Therapy Inc Physical Therapist CurrentSince Sep 11, 2014 Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients
Revive Physical Therapy Inc Past Accepting new patients

Locations

111 Blanco Ave
Ste E
Blanco, TX 78606

1316 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 997-2001

703 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 896-4545

113 W Young St
Llano, TX 78643
Phone (830) 798-2082

1004 Marble Heights Dr
Marble Falls, TX 78654

21122 State Highway 71 W
Unit B
Spicewood, TX 78669
Phone (512) 264-9981

Organizations & group practices 3

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1396171146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786241906",
            "telephone_number": "830-997-2001",
            "fax_number": "830-997-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S STATE HIGHWAY 16",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "830-997-2001",
            "fax_number": "830-997-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CAITLIN",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1232168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327040702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "DEAN",
            "middle_name": "RENEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.