CAITLIN CAVANAUGH DPT
NPI 1124411582
Physical Therapist in Cass Lake, MN

Active since March 10, 2015
425 7TH ST NW, CASS LAKE, MN 56633(218) 335-3200(218) 335-3327 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Caitlin Cavanaugh Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAITLIN CAVANAUGH DPT (NPI 1124411582) is an individual physical therapist in Cass Lake, Minnesota, licensed in North Carolina (P15492) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1124411582
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCAITLIN CAVANAUGHCredential: DPT
Location Address425 7TH ST NWCass Lake, MN 56633-3360
Mailing Address2309 Birchmont Dr NeBemidji, MN 56601-2325 · (218) 335-3200
Fax(218) 335-3327
Sole ProprietorNo
Enumeration DateMarch 10, 2015
Last NPPES UpdateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1124411582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NC · P15492
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
425 7TH ST NW, Cass Lake, MN 56633

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caitlin Cavanaugh Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Caitlin Cavanaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
3708 FORESTVIEW RD STE 101
Raleigh, NC 27612
  • Reassigned Medicare billing, North Carolina enrollment
  • 232 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
425 7TH ST NW
CASS LAKE, MN 56633
Counselor (Mental Health)
425 7TH ST NW
CASS LAKE, MN 56633
Optometrist
425 7TH ST NW
CASS LAKE, MN 56633
Registered Nurse
425 7TH ST NW
CASS LAKE, MN 56633
Registered Nurse
425 7TH ST NW
CASS LAKE, MN 56633
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
425 7TH ST NW
CASS LAKE, MN 56633
Dental Hygienist
425 7TH ST NW
CASS LAKE, MN 56633
Pharmacist
425 7TH ST NW
CASS LAKE, MN 56633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caitlin Cavanaugh's NPI number?

The NPI number for Caitlin Cavanaugh is 1124411582. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Caitlin Cavanaugh located?

Caitlin Cavanaugh practices at 425 7th St NW, Cass Lake, MN 56633. The listed phone number is (218) 335-3200.

What is Caitlin Cavanaugh's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Caitlin Cavanaugh enrolled in Medicare?

Yes. Caitlin Cavanaugh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caitlin Cavanaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Cavanaugh reassigns Medicare benefits to Activcare Physical Therapy, LLC (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caitlin Cavanaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caitlin Cavanaugh was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.