Individual provider Active NPI

Caitlin Pertmer, AUD

  • Audiologist
  • Bala Cynwyd, PA
National Provider Identifier
1467182071
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
143 Bala Ave
Bala Cynwyd, PA 19004-3317
Phone
(610) 747-1100
Fax
(610) 747-1118
NPI assigned
Jun 15, 2022
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

143 Bala Ave
Bala Cynwyd, PA 19004-3317

Mailing address

65 W Street Rd Ste B104
Warminster, PA 18974-3216
Phone (215) 672-4327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905004155 PA Practitioner - Qualified Audiologist 7012457997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Audiology, LLCGroup PAC ID 9739598137, 14 clinicians

Practice addresses (Care Compare)

143 Bala Ave
Bala Cynwyd, PA 19004-3317
Phone (610) 747-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Audiology, LLC Audiologist CurrentSince Dec 2, 2024 Accepting new patients
Rise Audiology, LLC CurrentSince Dec 2, 2024 Accepting new patients
Conley Hearing Care, P.C. PastSince Jun 1, 2022 Accepting new patients
Alpaca Audiology, LLC Audiologist PastSince Jun 24, 2024 Accepting new patients

Locations

143 Bala Ave
Bala Cynwyd, PA 19004
Phone (610) 747-1100

65 W Street Rd
Ste B104
Warminster, PA 18974
Phone (215) 672-4327

Organizations & group practices 4

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1467182071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W STREET RD STE B104",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743216",
            "telephone_number": "215-672-4327",
            "fax_number": "215-672-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043317",
            "telephone_number": "610-747-1100",
            "fax_number": "610-747-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTMER",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.