Individual provider Active NPI

Caitlin Kievenaar Lucas, PT, DPT, MS, ATC

  • Physical Therapist
  • Gainesville, VA
National Provider Identifier
1629523691
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211593 Issued in VA
Practice address
7965 Heritage Village PLZ
Gainesville, VA 20155-3077
Phone
(571) 486-1899
NPI assigned
Aug 19, 2016
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 PTL.0014321 CO
Physical Therapist 225100000X 2305211593 VA Primary

Addresses

Primary practice location

7965 Heritage Village PLZ
Gainesville, VA 20155-3077

Mailing address

7965 Heritage Village PLZ
Gainesville, VA 20155-3077
Phone (571) 486-1899

Other names 1

  • Dr. Caitlin Jean Kievenaar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PTL.0014321COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions, LLC Physical Therapist Current Accepting new patients

Locations

7965 Heritage Village Plz
Gainesville, VA 20155
Phone (571) 486-1899

54 Floyd Pike
Hillsville, VA 24343
Phone (276) 728-7280

Organizations & group practices 1

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1629523691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7965 HERITAGE VILLAGE PLZ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553077",
            "telephone_number": "571-486-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 HERITAGE VILLAGE PLZ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553077",
            "telephone_number": "571-486-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CAITLIN",
        "middle_name": "KIEVENAAR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014321",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "KIEVENAAR",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "PT, DPT, MS, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.