Individual provider Active NPI

Caitlin Kearns

  • Physical Therapist
  • Cheshire, CT
National Provider Identifier
1982191888
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11118 Issued in CT
Practice address
382 S Main St
Cheshire, CT 06410-3115
Phone
(203) 250-9663
Fax
(203) 699-9641
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 11118 CT Primary

Addresses

Primary practice location

382 S Main St
Cheshire, CT 06410-3115

Mailing address

382 S Main St
Cheshire, CT 06410-3115
Phone (203) 250-9663

Other practice location 1

816 Broad St Ste 17
Meriden, CT 06450-4350
Phone (203) 250-9663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11118CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Fitness Zone, LLC PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 1

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1982191888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103115",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103115",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Broad St Ste 17",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064504350",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.