Active NPI
Caitlin Woods
- Physical Therapy Assistant
- Hixson, TN
National Provider Identifier
1780974659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA0000004522
- Practice address
- 2125 Northpoint Blvd
Hixson, TN 37343-4072 - Phone
- (423) 875-3376
- Fax
- (423) 875-3451
- NPI assigned
- Apr 13, 2011
- 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 Therapy Assistant | 225200000X | PTA0000004522 | TN | Primary |
| Physical Therapy Assistant | 225200000X | PTA002593 | GA |
Addresses
Primary practice location
2125 Northpoint Blvd
Hixson, TN 37343-4072
Mailing address
2125 Northpoint Blvd
Hixson, TN 37343-4072
Phone (423) 875-3376
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002593 | GA | MD | Physical Therapy Assistant |
| PTA0000004522 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCM Rehabilitation, LLC. | Past | Accepting new patients | |
| MCM Rehabilitation LLC | 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.
-
- Durable Medical Equipment & Medical Supplies
- Hixson, TN
- NPI 1922681360
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1538226840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1780974659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 NORTHPOINT BLVD",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434072",
"telephone_number": "423-875-3376",
"fax_number": "423-875-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 NORTHPOINT BLVD",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434072",
"telephone_number": "423-875-3376",
"fax_number": "423-875-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "PTA0000004522",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.