Individual provider Active NPI

Caitlin Gockel

  • Physical Therapist
  • Burlington, WI
National Provider Identifier
1568947612
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14418-24 Issued in WI
Practice address
980 Milwaukee Ave Ste 500
Burlington, WI 53105-1315
Phone
(262) 757-7752
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 1845 WY
Physical Therapist 225100000X 14418-24 WI Primary

Addresses

Primary practice location

980 Milwaukee Ave Ste 500
Burlington, WI 53105-1315

Mailing address

1306 Dakota St
Watertown, WI 53094-6513

Other practice location 1

W4266 County Hwy X
Owen, WI 54460
Phone (715) 229-2172

Other practice location 2

1002 Forest Dr
Riverton, WY 82501-2918
Phone (307) 856-9471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129004248 CO Practitioner - Physical Therapist in Private Practice 4880924901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3063 Brighton Blvd
Unit 750
Denver, CO 80216-5032

500 Eldorado Blvd
BLDG 4
Broomfield, CO 80021-3408

PO Box
Suite 290609
Nashville, TN 37229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1845WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 21, 2026 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 21, 2026 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 21, 2026 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1568947612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 DAKOTA ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530946513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MILWAUKEE AVE STE 500",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051315",
            "telephone_number": "262-757-7752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W4266 County Hwy X",
            "address_purpose": "LOCATION",
            "city": "Owen",
            "state": "WI",
            "postal_code": "54460",
            "country_code": "US",
            "telephone_number": "715-229-2172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "WY",
            "postal_code": "825012918",
            "country_code": "US",
            "telephone_number": "307-856-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOCKEL",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1845",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14418-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.