Individual provider Active NPI

Caitlin V Morman, DPT, PT

  • Physical Therapist
  • Lagrange, GA
National Provider Identifier
1780455675
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017069 Issued in GA
Practice address
1801 Vernon Rd
Lagrange, GA 30240-4041
Phone
(706) 845-9383
Fax
(706) 845-9382
NPI assigned
Jan 10, 2024
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 PT017069 GA Primary

Addresses

Primary practice location

1801 Vernon Rd
Lagrange, GA 30240-4041

Mailing address

8059 Mitchell LN
Birmingham, AL 35216-6821
Phone (706) 845-9383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516002195 GA Practitioner - Physical Therapist in Private Practice 1951742360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1805 Vernon Rd
Suite a
Lagrange, GA 30240-3871
Phone (706) 845-9383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017069GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Apr 13, 2024 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Apr 13, 2024 Accepting new patients

Locations

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

1519 13th Ave
Columbus, GA 31901
Phone (706) 315-8175

115 Sumner Rd
Fayetteville, GA 30214
Phone (706) 407-4446

1805 W Point Rd
Ste A
Lagrange, GA 30240
Phone (706) 845-9383

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1780455675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 MITCHELL LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352166821",
            "telephone_number": "706-845-9383",
            "fax_number": "706-845-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404041",
            "telephone_number": "706-845-9383",
            "fax_number": "706-845-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORMAN",
        "first_name": "CAITLIN",
        "middle_name": "V",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.