Provider Demographics
NPI:1740821305
Name:MCBRYDE, CAITLIN OLIVER (PT, DPT)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:OLIVER
Last Name:MCBRYDE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:RENEE'
Other - Last Name:OLIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:8205 PRESIDENTS DR
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8621
Mailing Address - Country:US
Mailing Address - Phone:717-839-2159
Mailing Address - Fax:717-565-1104
Practice Address - Street 1:831 1ST ST N STE B
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8944
Practice Address - Country:US
Practice Address - Phone:205-358-9138
Practice Address - Fax:205-358-9139
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist