Individual provider Active NPI

Caitlin Crutchfield

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1558041889
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11019 Canyon Rd E Ste C
Puyallup, WA 98373-3001
Phone
(253) 286-3600
Fax
(253) 286-3444
NPI assigned
Jul 21, 2023
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP015801T NC
Physical Therapist 225100000X AZ
Physical Therapist 225100000X PT004134 WV
Physical Therapist 225100000X CP022512T VA
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

11019 Canyon Rd E Ste C
Puyallup, WA 98373-3001

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

447 Valley Falls Rd
Fairmont, WV 26554-9029
Phone (304) 692-1484

Other practice location 2

1065 E Tucson Marketplace Blvd Ste 155
Tucson, AZ 85713-6563
Phone (520) 719-4210

Other practice location 3

207 S Princess St # 34
Shepherdstown, WV 25443-1581
Phone (304) 876-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, WV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240321003829 AZ Practitioner - Physical Therapist in Private Practice 7113364498 Reassigns benefits to 1 organization
I20240813004186 WA Practitioner - Physical Therapist in Private Practice 7113364498 Reassigns benefits to 2 organizations
I20251104002932 WV Practitioner - Physical Therapist in Private Practice 7113364498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Sportscare and Rehab of West Virginia LLCGroup PAC ID 7719037027, 15 clinicians
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

207 S Princess St
Suite 3
Shepherdstown, WV 25443-1581
Phone (304) 271-8895

2529 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP015801TNCMDPhysical Therapist
CP022512TVAMDPhysical Therapist
PT004134WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS CurrentSince Apr 8, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 18, 2024 Accepting new patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist CurrentSince Sep 29, 2025 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Apr 8, 2025 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jul 18, 2024 Accepting new patients
The Vancouver Clinic Inc PS Current Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

1065 E Tucson Marketplace Blvd
Ste 155
Tucson, AZ 85713
Phone (520) 719-4210

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

11019 Canyon Rd E
Ste C
Puyallup, WA 98373
Phone (253) 286-3600

2529 NE 139th St
Vancouver, WA 98686
Phone 3608822778 ext. 67386

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

5078 Williamsport Pike
Ste I
Martinsburg, WV 25404
Phone (304) 271-8895

207 S Princess St
#34
Shepherdstown, WV 25443
Phone (304) 876-8600

207 S Princess St
Ste 3
Shepherdstown, WV 25443
Phone (304) 271-8895

Organizations & group practices 8

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1558041889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 CANYON RD E STE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733001",
            "telephone_number": "253-286-3600",
            "fax_number": "253-286-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 Valley Falls Rd",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265549029",
            "country_code": "US",
            "telephone_number": "304-692-1484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 E Tucson Marketplace Blvd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136563",
            "country_code": "US",
            "telephone_number": "520-719-4210",
            "fax_number": "520-822-8641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 S Princess St # 34",
            "address_purpose": "LOCATION",
            "city": "Shepherdstown",
            "state": "WV",
            "postal_code": "254431581",
            "country_code": "US",
            "telephone_number": "304-876-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP015801T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004134",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP022512T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.