Individual provider Active NPI

Caitlin Belter Evans, DPT, PT, ATC

  • Physical Therapist
  • Lakeville, CT
National Provider Identifier
1699024299
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009473 Issued in CT
Practice address
327 Main St
Lakeville, CT 06039-1205
Phone
(860) 748-3791
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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 39481 CA
Physical Therapist 225100000X 009473 CT Primary

Addresses

Primary practice location

327 Main St
Lakeville, CT 06039-1205

Mailing address

66 Cornwall Hollow Rd
West Cornwall, CT 06796-1617
Phone (860) 748-3791

Other practice location 1

6030 Hollister Ave
Goleta, CA 93117
Phone (805) 685-1755

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
009473CTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayashida & Associates Physical Therapy, Inc. Physical Therapist PastSince Feb 1, 2016 Accepting new patients
Sansum Clinic Past 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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1699024299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CORNWALL HOLLOW RD",
            "city": "WEST CORNWALL",
            "state": "CT",
            "postal_code": "067961617",
            "telephone_number": "860-748-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MAIN ST",
            "city": "LAKEVILLE",
            "state": "CT",
            "postal_code": "060391205",
            "telephone_number": "860-748-3791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6030 Hollister Ave",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "93117",
            "country_code": "US",
            "telephone_number": "805-685-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CAITLIN",
        "middle_name": "BELTER",
        "name_prefix": "Dr.",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39481",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.