Active NPI
Lauren Kathryne Caldwell, PT, DPT
- Physical Therapist
- Mt Pleasant, MI
National Provider Identifier
1396244539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018080
- Practice address
- 1234 E Broomfield St # A3
Mt Pleasant, MI 48858-4491 - Phone
- (989) 773-1333
- NPI assigned
- Feb 2, 2018
- Last updated
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 5501018080 | MI | Primary |
Addresses
Primary practice location
1234 E Broomfield St # A3
Mt Pleasant, MI 48858-4491
Mailing address
930 Brick Rd
West Branch, MI 48661-9513
Phone (989) 965-2163
Other practice location 1
335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 343-3154
Other practice location 2
2463 S M 30
West Branch, MI 48661-9312
Phone (989) 343-3154
Other names 1
- Lauren Gillette
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 |
|---|---|---|---|
| 5501018080 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1396244539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 BRICK RD",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619513",
"telephone_number": "989-965-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 E BROOMFIELD ST # A3",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488584491",
"telephone_number": "989-773-1333"
}
],
"practiceLocations": [
{
"address_1": "335 E Houghton Ave",
"address_purpose": "LOCATION",
"city": "West Branch",
"state": "MI",
"postal_code": "486611127",
"country_code": "US",
"telephone_number": "989-343-3154",
"fax_number": "989-343-3752",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2463 S M 30",
"address_purpose": "LOCATION",
"city": "West Branch",
"state": "MI",
"postal_code": "486619312",
"country_code": "US",
"telephone_number": "989-343-3154",
"fax_number": "989-343-3752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "LAUREN",
"middle_name": "KATHRYNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-02",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "GILLETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.