Individual provider Active NPI

Caitlin O'Herron, PT, DPT

  • Physical Therapist
  • Shrewsbury, MA
National Provider Identifier
1609523778
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22318 Issued in MA
Practice address
512 Main St Ste 211
Shrewsbury, MA 01545-6406
Phone
(508) 845-1232
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22318 MA Primary

Addresses

Primary practice location

512 Main St Ste 211
Shrewsbury, MA 01545-6406

Mailing address

388 Millville Rd
Uxbridge, MA 01569-1636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117002657 MA Practitioner - Physical Therapist in Private Practice 4082066881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 W Farm Pond Rd
Framingham, MA 01702-6285
Phone (508) 720-3273

99 Brackett St
Quincy, MA 02169-4647
Phone (617) 934-1079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22318MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Physical Therapy Services of Quincy Bay, LLC Physical Therapist CurrentSince Oct 3, 2023 Accepting new patients
Innovative Senior Care Home Health of Boston LLC CurrentSince Mar 13, 2022 Accepting new patients

Locations

512 Main St
Ste 211
Shrewsbury, MA 01545
Phone (508) 845-0100

Organizations & group practices 3

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1609523778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 MILLVILLE RD",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MAIN ST STE 211",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456406",
            "telephone_number": "508-845-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HERRON",
        "first_name": "CAITLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.