Active NPI
Kaitlin Silva
- Physical Therapist
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT301764
- Practice address
- 1519 Baywood LN
Davis, CA 95618-1402 - Phone
- (530) 219-2681
- NPI assigned
- Aug 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT301764 | CA | Primary |
Addresses
Primary practice location
1519 Baywood LN
Davis, CA 95618-1402
Mailing address
1460 Drew Ave Ste 200
Davis, CA 95618-4856
Phone (530) 753-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1460 Drew Ave
Suite 200
Dans, CA 95618-4856
Phone (530) 753-9011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT301764 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Edge Specialty Services | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Physical Edge, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1460 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 753-9011
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
275 SE Cabot Dr
Ste A5
Oak Harbor, WA 98277
Phone (360) 914-5504
111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085
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
- Davis, CA
- NPI 1770675639
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Physical Therapist
- Davis, CA
- NPI 1740894005
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1891340014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 DREW AVE STE 200",
"city": "DAVIS",
"state": "CA",
"postal_code": "956184856",
"telephone_number": "530-753-9011",
"fax_number": "530-753-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 BAYWOOD LN",
"city": "DAVIS",
"state": "CA",
"postal_code": "956181402",
"telephone_number": "530-219-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "KAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT301764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.