Individual provider Active NPI

Caitlin S Wheeler, MPT

  • Pediatric Physical Therapist
  • Coeur D Alene, ID
National Provider Identifier
1689914731
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT-3224 Issued in ID
Practice address
1400 N Northwood Center CT
Coeur D Alene, ID 83814-2657
Phone
(208) 664-8142
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2063 ID
Pediatric Physical Therapist 2251P0200X
Pediatric Physical Therapist 2251P0200X PT-3224 ID Primary

Addresses

Primary practice location

1400 N Northwood Center CT
Coeur D Alene, ID 83814-2657

Mailing address

1400 N Northwood Center CT
Coeur D Alene, ID 83814-2657

Other identifiers 1

IdentifierTypeStateIssuer
PT3224OtherIDIDAHO PHYSICAL THERAPY LICENSE

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

State licenses

LicenseStateTypeSpecialty
PT2063IDMDPhysical Therapist
PT-3224IDMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center of Post Physical Therapist Past Accepting new patients
Alpine Physical Therapy Center, P.C. Physical Therapist PastSince Jul 1, 2009 Accepting new patients

Organizations & group practices 2

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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1689914731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N NORTHWOOD CENTER CT",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N NORTHWOOD CENTER CT",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142657",
            "telephone_number": "208-664-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CAITLIN",
        "middle_name": "S",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT2063",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ID",
            "license": "PT-3224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO PHYSICAL THERAPY LICENSE",
            "identifier": "PT3224",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.