Individual provider Active NPI

Kaylee Caudill

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1821697913
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31427 Issued in AZ
Practice address
16640 N 38TH St
Phoenix, AZ 85032-2103
Phone
(602) 482-6671
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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
Physical Therapist 225100000X LPT-31427 AZ Primary

Addresses

Primary practice location

16640 N 38TH St
Phoenix, AZ 85032-2103

Mailing address

2176 E Ellis Dr
Tempe, AZ 85282-7458
Phone (509) 881-4972

Other practice location 1

41125 N Daisy Mountain Dr Ste 121
Anthem, AZ 85086-4964
Phone (623) 551-9706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021003648 AZ Practitioner - Physical Therapist in Private Practice 3678005261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sport Rehab Specialists at Anthem, LLC Physical Therapist CurrentSince Sep 12, 2024 Accepting new patients

Locations

9784 W Yearling Rd
Bldg B
Peoria, AZ 85383
Phone (623) 412-2117

41125 N Daisy Mountain Dr
Ste 121
Phoenix, AZ 85086
Phone (623) 551-9706

41125 N Daisy Mountain Dr
Ste 125
Phoenix, AZ 85086
Phone (480) 265-2132

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1821697913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 E ELLIS DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827458",
            "telephone_number": "509-881-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16640 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322103",
            "telephone_number": "602-482-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41125 N Daisy Mountain Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850864964",
            "country_code": "US",
            "telephone_number": "623-551-9706",
            "fax_number": "623-551-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "KAYLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.

Verify at the official NPI Registry.