Individual provider Active NPI

Caitlin Marie Hall, DPT

  • Physical Therapist
  • Clinton Township, MI
National Provider Identifier
1902194954
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015659 Issued in MI
Practice address
21550 Harrington St
Suite D
Clinton Township, MI 48036-2362
Phone
(586) 783-7590
Fax
(586) 783-7876
NPI assigned
Jul 12, 2011
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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 5501015659 MI Primary

Addresses

Primary practice location

21550 Harrington St
Suite D
Clinton Township, MI 48036-2362

Mailing address

878 S Rochester Rd
Rochester Hills, MI 48307-2740
Phone (248) 601-9207

Other identifiers 1

IdentifierTypeStateIssuer
650E035140OtherMIBCBSM

Other names 1

  • Caitlin Marie Colwell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000796 MI Practitioner - Physical Therapist in Private Practice 7810168044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KSS of Shelby LLCGroup PAC ID 9335218619, 23 clinicians

Practice addresses (Care Compare)

48875 Hayes Rd
Shelby TWP, MI 48315-4405
Phone (586) 532-9602

Merit-based Incentive Payment System (MIPS)

Final score
70.77 of 100Reported as group
Quality
66.1
Improvement activities
40
Cost
64.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CKS of Mt Clemens LLC Physical Therapist CurrentSince Jul 6, 2011 Accepting new patients
KSS of Shelby LLC Physical Therapist CurrentSince Mar 15, 2018 Accepting new patients
KSS of Shelby LLC CurrentSince Mar 15, 2018 Accepting new patients

Locations

21550 Harrington St
Ste D
Clinton Twp, MI 48036
Phone (586) 783-7590

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

878 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 650-4404

48875 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-9602

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1902194954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072740",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 HARRINGTON ST",
            "address_2": "SUITE D",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362362",
            "telephone_number": "586-783-7590",
            "fax_number": "586-783-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650E035140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "COLWELL",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.