Individual provider Active NPI

Caitlyn Moro Flores, PT, DPT

  • Physical Therapist
  • Summerville, SC
National Provider Identifier
1891361622
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1345205 Issued in TX
Practice address
10040 Dorchester Rd Ste 106&107
Summerville, SC 29485-8533
Phone
(843) 875-4770
Fax
(843) 875-4396
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 1345205 TX Primary

Addresses

Primary practice location

10040 Dorchester Rd Ste 106&107
Summerville, SC 29485-8533

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

5977 E Grant Rd Ste 101
Tucson, AZ 85712-2369
Phone (520) 822-8640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230801004102 SC Practitioner - Physical Therapist in Private Practice 5597140483 Reassigns benefits to 1 organization
I20250318001899 NY Practitioner - Physical Therapist in Private Practice 5597140483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

10040 Dorchester Rd
Suite 106And107
Summerville, SC 29485-8533
Phone (843) 875-4770

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053815NYMDClinical Social Worker
1345205TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Pelvic Flores, LLC Current Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Feb 11, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Ideal Rehabilitation LLC PastSince Aug 1, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

10040 Dorchester Rd
Ste 106107
Summerville, SC 29485
Phone (843) 875-4770

Organizations & group practices 5

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1891361622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 DORCHESTER RD STE 106&107",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858533",
            "telephone_number": "843-875-4770",
            "fax_number": "843-875-4396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5977 E Grant Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122369",
            "country_code": "US",
            "telephone_number": "520-822-8640",
            "fax_number": "520-822-8641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "CAITLYN",
        "middle_name": "MORO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1345205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.