Caitlin Carlson Cunningham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400130263 Issued in 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

Last updated

Jul 21, 2022By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Rehabgym Inc.

  • Physical Therapy Clinic/Center
  • Colchester, VT
  • NPI 1457674038

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417475666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 BLAIR PARK RD UNIT 204",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958056",
            "telephone_number": "802-662-4672",
            "fax_number": "802-662-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BLAIR PARK RD UNIT 204",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958056",
            "telephone_number": "802-662-4672",
            "fax_number": "802-662-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CAITLIN",
        "middle_name": "CARLSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400130263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019108",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Cornbrooks, DPT
• Cornerstone Physical Therapy
• Janelle Crady, PHARMD
• Rebecca A Crittenden, PHARMD
• Nozomi Yamasaki Crowley
• Katherine Leigh Curler, BCBA
• Sarah Jean Curran, MS SLP/CCC
• Charles Robert Cyr, O.D.
• Margaret Mary Czabaj, PT, ATC
• D. Douglas Shaw (Orthoteknics)

• Physical Therapist in Williston, VT
• Providers in Williston, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.