Active NPI
Caitlin Perkins
- Physical Therapist
- Edgewater, MD
National Provider Identifier
1487084810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24790
- Practice address
- 3179 Braverton St
Suite 201
Edgewater, MD 21037-2665 - Phone
- (410) 956-4308
- NPI assigned
- Nov 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 24790 | MD | Primary |
Addresses
Primary practice location
3179 Braverton St
Suite 201
Edgewater, MD 21037-2665
Mailing address
3179 Braverton St
Suite 201
Edgewater, MD 21037-2665
Phone (410) 956-4308
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24790 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1487084810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3179 BRAVERTON ST",
"address_2": "SUITE 201",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372665",
"telephone_number": "410-956-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3179 BRAVERTON ST",
"address_2": "SUITE 201",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372665",
"telephone_number": "410-956-4308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "CAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-21",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.