Individual provider Active NPI

Caitlyn Marie Van Der Geest, DPT

  • Physical Therapist
  • Plover, WI
National Provider Identifier
1689986283
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23343 Issued in MD
Practice address
1767 Park Ave
Plover, WI 54467-4301
Phone
(715) 544-1570
Fax
(715) 544-1566
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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 23343 MD Primary

Addresses

Primary practice location

1767 Park Ave
Plover, WI 54467-4301

Mailing address

902 W River Road
Mosinee, WI 54455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629001843 WI Practitioner - Physical Therapist in Private Practice 3274726211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Clinic S.C.Group PAC ID 3678541919, 45 clinicians

Practice addresses (Care Compare)

1767 Park Ave
Suite 100
Plover, WI 54467-4301
Phone (800) 445-6442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23343MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bone & Joint Clinic S.C. Physical Therapist CurrentSince Dec 1, 2018 Accepting new patients
Bone & Joint Clinic S.C. CurrentSince Dec 1, 2018 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients
Stratford Therapy Services, Inc. Physical Therapist Past Accepting new patients

Locations

724 S 8th St
Medford, WI 54451
Phone (715) 748-2663

1767 Park Ave
Plover, WI 54467
Phone (715) 344-1260

1767 Park Ave
#100
Plover, WI 54467
Phone (715) 344-1260

225000 Hummingbird Rd
Ste 100
Rib Mountain, WI 54401
Phone 71535964421615

400 Westwood Dr
#100
Wausau, WI 54401
Phone (715) 393-0372

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1689986283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W RIVER ROAD",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "54455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674301",
            "telephone_number": "715-544-1570",
            "fax_number": "715-544-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER GEEST",
        "first_name": "CAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plover, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.