Active NPI
Caitlin Crutchfield
- Physical Therapist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WV
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP015801T | NC | MD | Physical Therapist |
| CP022512T | VA | MD | Physical Therapist |
| PT004134 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab of West Virginia, LLC | Physical Therapist | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | 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.
-
dba The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Physical Therapist
- Shepherdstown, WV
- NPI 1548404577
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
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.