Provider Demographics
NPI:1730857129
Name:HARRIS, CAITLYN (MOT, OT/L)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MOT, OT/L
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:
Other - Last Name:CROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2198 FLINTSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5066
Mailing Address - Country:US
Mailing Address - Phone:402-917-1162
Mailing Address - Fax:
Practice Address - Street 1:2198 FLINTSHIRE DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5066
Practice Address - Country:US
Practice Address - Phone:402-917-1162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2597225X00000X
TX122780225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47065477702Medicaid