Individual provider Active NPI

Caitlin Ellice Parker, PT, DPT

  • Physical Therapist
  • Sparks, NV
National Provider Identifier
1447096607
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5167 Issued in NV
Practice address
2350 Wingfield Hills Rd
Sparks, NV 89436-7220
Phone
(775) 335-8275
NPI assigned
Jul 6, 2024
Last updated
Jul 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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 5167 NV Primary

Addresses

Primary practice location

2350 Wingfield Hills Rd
Sparks, NV 89436-7220

Mailing address

9200 Double R Blvd Unit 1128
Reno, NV 89521-9034
Phone (775) 846-8382

Other practice location 1

2175 Green Vista Dr Ste 210
Sparks, NV 89431-8510
Phone (775) 674-8903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724003281 NV Practitioner - Physical Therapist in Private Practice 0244776375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nevada, Las Vegas School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuhn Physical Therapy LLCGroup PAC ID 4284618083, 12 clinicians

Practice addresses (Care Compare)

2175 Green Vista Dr
Suite 210
Sparks, NV 89431-8510
Phone (775) 674-8903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5167NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kuhn Physical Therapy LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients

Locations

615 Sierra Rose Dr
Ste 2A
Reno, NV 89511
Phone (775) 828-9724

2175 Green Vista Dr
Ste 210
Sparks, NV 89431
Phone (775) 674-8903

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, 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": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1447096607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 DOUBLE R BLVD UNIT 1128",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895219034",
            "telephone_number": "775-846-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WINGFIELD HILLS RD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367220",
            "telephone_number": "775-335-8275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Green Vista Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894318510",
            "country_code": "US",
            "telephone_number": "775-674-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CAITLIN",
        "middle_name": "ELLICE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.