Individual provider Active NPI

Caitlin Marie Vereen, PT

  • Physical Therapist
  • Mt Pleasant, SC
National Provider Identifier
1497423768
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10865 Issued in SC
Practice address
1625 Hospital Dr
Mt Pleasant, SC 29464-3698
Phone
(843) 849-1551
Fax
(843) 884-0629
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 10865 SC Primary

Addresses

Primary practice location

1625 Hospital Dr
Mt Pleasant, SC 29464-3698

Mailing address

PO Box 749340
Atlanta, GA 30374-9340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015001186 SC Practitioner - Physical Therapist in Private Practice 8628476009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Southeastern Spine Institute LLCGroup PAC ID 0244750578, 31 clinicians

Practice addresses (Care Compare)

1625 Hospital Dr
Suite 200
Mt Pleasant, SC 29464-3892
Phone (843) 849-1551

Merit-based Incentive Payment System (MIPS)

Final score
70.32 of 100Reported as group
Quality
43.59
Promoting interoperability
86
Improvement activities
40
Cost
69.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10865SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Spine Institute,LLC CurrentSince Dec 5, 2022 Accepting new patients
Novant Health Southeastern Spine Institute, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

1625 Hospital Dr
Mt Pleasant, SC 29464
Phone (866) 774-6350

1625 Hospital Dr
Ste 200
Mt Pleasant, SC 29464
Phone 8438491551112

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1497423768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 HOSPITAL DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643698",
            "telephone_number": "843-849-1551",
            "fax_number": "843-884-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEREEN",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.