Healthcare Provider Details

I. General information

NPI: 1558885780
Provider Name (Legal Business Name): CAITLIN R RATINO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 01/23/2025
Certification Date: 01/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 20TH ST NW FRNT 1
WASHINGTON DC
20036-3411
US

IV. Provider business mailing address

1120 20TH ST NW FL 1
WASHINGTON DC
20036-3406
US

V. Phone/Fax

Practice location:
  • Phone: 240-790-9985
  • Fax:
Mailing address:
  • Phone: 240-790-9985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number29274
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number200001207
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number2305211359
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: