Individual provider Active NPI

Kaitlin Silva

  • Physical Therapist
  • Davis, CA
National Provider Identifier
1891340014
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT301764 Issued in CA
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

Updated by the provider on Feb 28, 2022

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 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, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191001000591 WA Practitioner - Physical Therapist in Private Practice 0840520052 Reassigns benefits to 1 organization
I20220311001826 CA Practitioner - Physical Therapist in Private Practice 0840520052 Reassigns benefits to 1 organization

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
Physical Edge, Inc.Group PAC ID 7214990399, 9 clinicians

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

LicenseStateTypeSpecialty
PT301764CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Edge Specialty Services Physical Therapist CurrentSince Feb 22, 2022 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients
Physical Edge, Inc. Physical Therapist CurrentSince Feb 22, 2022 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.

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.

Verify at the official NPI Registry.