Individual provider Active NPI

Caitlin Cook, PT DPT

  • Physical Therapist
  • Hermiston, OR
National Provider Identifier
1720439706
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61183 Issued in OR
Practice address
1725 N 1St St Ste D
Hermiston, OR 97838-1682
Phone
(541) 567-5678
Fax
(541) 567-2110
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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 61183 OR Primary

Addresses

Primary practice location

1725 N 1St St Ste D
Hermiston, OR 97838-1682

Mailing address

PO Box 90
Sunnyside, WA 98944-0090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181207001630 OR Practitioner - Physical Therapist in Private Practice 5395089932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Oregon Physical Therapy Hermiston LLCGroup PAC ID 8527099894, 4 clinicians

Practice addresses (Care Compare)

1725 N 1St St
Suite D
Hermiston, OR 97838-1682
Phone (541) 567-5678

1890 7TH St
Umatilla, OR 97882-9826
Phone (541) 567-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61183ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Oregon Physical Therapy Hermiston LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients

Locations

1725 N 1st St
Ste D
Hermiston, OR 97838
Phone (541) 567-5678

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1720439706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N 1ST ST STE D",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381682",
            "telephone_number": "541-567-5678",
            "fax_number": "541-567-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.