DR. CAITLYN CHRISTINE TIVY (NPI# 1003352550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003352550 |
Entity Type | Individual |
Full Name | DR. CAITLYN CHRISTINE TIVY |
Credential | PT, DPT, OCS |
Practice Address |
1450 E Valley Rd Unit 203 Basalt CO 81621-8352 |
Practice Telephone | 9709279319 |
Practice Fax Number | 9709270168 |
Mailing Telephone | 9709279319 |
Mailing Fax Number | 9709270168 |
Enumeration Date | 2017-01-09 |
Last Update Date | 2019-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 1285482 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
0015282 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
11150 Research Blvd, Suite 212, Austin, TX 787595265 | 5127948863 | 5127950688 |
Street Address |
1450 E VALLEY RD UNIT 203 |
City | BASALT |
State | CO |
Zip Code | 81621-8352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356572044 | Sarah Jean Melear | Physical Therapist | 1450 E Valley Rd Unit 203, Basalt, CO 81621-8352 | 2009-07-29 |
1902361199 | Martha L Mcdonald | Physical Therapist | 1450 E Valley Rd Unit 203, Basalt, CO 81621-8352 | 2019-02-01 |
1700397692 | Kevin Tadus | Physical Therapy Assistant | 1450 E Valley Rd Unit 203, Basalt, CO 81621-8352 | 2017-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235777889 | Aspen Valley Hospital District | General Acute Care Hospital | 234 Cody Lane, Cardiac Rehab Basalt, Basalt, CO 81621 | 2019-12-13 |
1972925691 | Kristin Lynne Werner | Counselor | 207 Basalt Center Circle, Suite 201, Basalt, CO 81621 | 2014-01-15 |
1831449008 | Jody Powell | Naturopath | 189 Basalt Center Cir, Basalt, CO 81621 | 2012-09-14 |
1619274263 | Marcus Blue | Dentist | 227 Midland Avenue, Suite C-6, Basalt, CO 81621 | 2011-02-17 |
1669790572 | Win Health Institute, LLC | Health Maintenance Organization | 110 Midland Avenue, Suite 2, Basalt, CO 81621 | 2010-05-17 |
1730320557 | Frederick Elias Persiko | Counselor | 23400 Two Rivers Road, #49, Basalt, CO 81621 | 2009-03-09 |
1235305467 | Rachel Cherie Carey | Specialist | 1460 East Valley Road, Suite 101, Basalt, CO 81621 | 2008-05-07 |
1679697973 | Thomas Robert Lankering | Chiropractor | 189 Basalt Center Circle, Basalt, CO 81621 | 2007-03-19 |
1598850166 | Locke Family Medicine, LLC | Family Medicine | 1450 East Valley Road, Suite 101, Basalt, CO 81621 | 2006-10-03 |
1013925098 | Karen Chrisholm Stevenson | Physical Therapist | 1450 E Valley Road, Ste 203, Basalt, CO 81621 | 2006-08-04 |
Find all providers in zip 81621 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962028365 | Vital Motion Physical Therapy, LLC | Physical Therapist | 9478 Ridgeline Blvd Unit D, Highlands Ranch, CO 80129-2593 | 2020-06-22 |
1912535477 | Eagle Valley Physical Therapy Pllc | Physical Therapist | 428 Steamboat Dr., Gypsum, CO 81637 | 2020-03-31 |
1982235891 | Rudy James Hernandez | Physical Therapist | 175 Inverness Dr W, Englewood, CO 80112-5065 | 2020-01-29 |
1457997470 | Dara Wellness and Physio LLC | Physical Therapist | 2970 W 29th St Unit 17, Greeley, CO 80631-8510 | 2019-11-25 |
1679114250 | Kacey Minear | Physical Therapist | 151 W Mineral Ave Ste 116a, Littleton, CO 80120-4510 | 2019-10-04 |
1447722137 | Trailhead Physical Therapy LLC | Physical Therapist | 9150 Commerce Center Cir Ste 200, Highlands Ranch, CO 80129-1562 | 2018-12-19 |
1730697822 | Eve A Monrad | Physical Therapist | 325 Interlocken Pkwy Ste A-100, Broomfield, CO 80021-3497 | 2018-01-11 |
1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
1972023604 | David Ernesto Canales | Physical Therapist | 2438 Research Pkwy Ste 235, Colorado Springs, CO 80920-1094 | 2017-06-23 |
1538606611 | Andrew Trevino | Physical Therapist | 9777 S Yosemite St Ste 130, Lone Tree, CO 80124-3115 | 2017-01-26 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.