Caitlin Carlson Cunningham, DPT
Individual provider Active NPI Physical Therapist · Williston, VT
NPI 1417475666 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1417475666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0400130263 (VT)
- Practice address
- 373 Blair Park Rd Unit 204
Williston, VT 05495-8056 - Phone
- (802) 662-4672
- Fax
- (802) 662-5964
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400130263 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Rehabgym Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400130263 | VT | Yes |
Addresses
Primary practice location
373 Blair Park Rd Unit 204
Williston, VT 05495-8056
Mailing address
373 Blair Park Rd Unit 204
Williston, VT 05495-8056
Phone (802) 662-4672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019108 | Medicaid | VT |
Other providers in Williston, VT
- Michaela Cornbrooks
- Cornerstone Physical Therapy
- Janelle Crady
- Rebecca A Crittenden
- Nozomi Yamasaki Crowley
- Katherine Leigh Curler
- Sarah Jean Curran
- Charles Robert Cyr
- Margaret Mary Czabaj
- D. Douglas Shaw
All providers in Williston, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.