Active NPI
Caitlin Alysse Moreland, DPT
- Physical Therapist
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7251
- Practice address
- 1015 12TH Ave S Ste 105
Nampa, ID 83651-4660 - Phone
- (208) 467-4357
- Fax
- (208) 467-4395
- NPI assigned
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4303 | NV | |
| Physical Therapist | 225100000X | 7251 | ID | Primary |
Addresses
Primary practice location
1015 12TH Ave S Ste 105
Nampa, ID 83651-4660
Mailing address
90 E Ustick Rd Ste 150
Meridian, ID 83646-6134
Phone (208) 895-0715
Other practice location 1
2225 N McCarran Blvd
Sparks, NV 89431-3365
Phone (775) 359-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, ID
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7251 | ID | MD | Physical Therapist |
| 4303 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moreland Physical Therapy Prof. Corp. | Physical Therapist | Current | Accepting new patients |
| Intermountain Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Valley Rehab of Idaho Inc | Physical Therapist | Current | Accepting new patients |
| Intermountain Physical Therapy LP | Past | Accepting new patients |
Locations
582 E Boise Ave
Boise, ID 83706
Phone (916) 209-0235
90 E Ustick Rd
#150
Meridian, ID 83646
Phone (208) 895-0715
1015 12th Ave S
Ste 105
Nampa, ID 83651
Phone (208) 467-4357
2225 N McCarran Blvd
Sparks, NV 89431
Phone (775) 240-7101
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.
-
- Physical Therapist
- Sparks, NV
- NPI 1548267677
-
- Physical Therapy Clinic/Center
- Nampa, ID
- NPI 1144334525
Physical Therapist
-
- Physical Therapy Clinic/Center
- Nampa, ID
- NPI 1073627451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1730704602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 E USTICK RD STE 150",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466134",
"telephone_number": "208-895-0715",
"fax_number": "208-895-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 12TH AVE S STE 105",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514660",
"telephone_number": "208-467-4357",
"fax_number": "208-467-4395"
}
],
"practiceLocations": [
{
"address_1": "2225 N McCarran Blvd",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "NV",
"postal_code": "894313365",
"country_code": "US",
"telephone_number": "775-359-1199",
"fax_number": "775-359-1195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORELAND",
"first_name": "CAITLIN",
"middle_name": "ALYSSE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4303",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "7251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.