Caitlin Wade, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

65067 Issued in OR

Practice address

1215 SE 8TH Ave Ste D
Portland, OR 97214-3497

Phone

(503) 248-0360

Fax

(503) 200-1148

NPI assigned

Aug 23, 2023

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 OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KJB Consulting CorporationGroup PAC ID 1759504590, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• KJB Consulting Corporation

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1497172373

  Orthopedic

  Medicare reassignment Care Compare group NPD
• 360 Degree Sports Medicine & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Portland, OR
  • NPI 1528268588
  Medicare reassignment NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1962286583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SE 8TH AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143497",
            "telephone_number": "503-248-0360",
            "fax_number": "503-200-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SE 8TH AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143497",
            "telephone_number": "503-248-0360",
            "fax_number": "503-200-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CAITLIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "65067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Samuel Waddell, FNP
• Lillian Maya Waddick
• Michael A Waddick, M.D.
• Staci Wade-Hernandez, PSY.D.
• Ashley Wade
• Caroline Denise Wade, LPCA
• Chrystie Wade
• Darrell Wade
• Dodi L Wade, MSN, PNP
• Elizabeth Louise Wade, ND

• Orthopedic Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.