Caitlyn Sulak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1398974 Issued in TX

Practice address

6438 Phelan Blvd
Beaumont, TX 77706-6047

Phone

(409) 203-4380

NPI assigned

Sep 18, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moreau Physical Therapy Inc. 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moreau Physical Therapy Inc.

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1770568669

  Physical Therapist, TX

  Medicare reassignment Care Compare group NPD
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1750566071
  Care Compare group
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82

  • Physical Therapist
  • Beaumont, TX
  • NPI 1831962018
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1891522264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S SHERWOOD FOREST BLVD STE B170",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164481",
            "telephone_number": "337-469-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066047",
            "telephone_number": "409-203-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULAK",
        "first_name": "CAITLYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1398974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Strother
• Chrysta Stuart
• Rose Brooks Stutes, M.ED., LPC
• Sudheer Kaza, M.D., P.a.
• Helene Jaeyun Suh, DDS
• Jeri Boudreaux Sullivan, M.S.
• Kris L Sullivan, DCLS
• Munnaver Sultana, MD
• Kristi Sumrall, MS, CCC-SLP
• Sunny Anesthesia LLP

• All providers in Beaumont, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.