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NPI Code Detail

MEDICARE: CAITLIN GOMEZ PTA

MEDICARE:   CAITLIN  GOMEZ  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant06006549AIN

General Provider Information

NPI Number : 1528788064
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN GOMEZ PTA
Provider Business Mailing Address
First Line : 33900 HARPER AVE STE 104
Second Line :
City : CLINTON TWP
State : MI
Zip : 48035-4258
Country : US
Telephone Number : 586-350-2644
Fax Number :
Provider Business Practice Location Address
First Line : 12174 N MERIDIAN ST STE 110
Second Line :
City : CARMEL
State : IN
Zip : 46032-4578
Country : US
Telephone Number : 317-610-0700
Fax Number : 317-610-0702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2022
Last Update Date : 03/09/2026

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Directions to “ CAITLIN GOMEZ PTA” Practice Location

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