Active NPIIndividual providerSole proprietor

Mrs. Maryann Capetillo, PT

Physical Therapist in Lake Hiawatha, New Jersey

NPI Number1902161540
Practice location
106A Dafrack Dr, Lake Hiawatha, NJ 07034-1358
Fax
—
Last updated
July 10, 2012

Maryann Capetillo is a Physical Therapist based in Lake Hiawatha, NJ. Maryann Capetillo practices in Lake Hiawatha, NJ and has the professional credentials of PT. The NPI Number for Maryann Capetillo is 1902161540 and holds a License No. 40QA00632800 (NJ). The current practice location address for Maryann Capetillo is 106A Dafrack Dr, Lake Hiawatha, NJ 07034-1358 and can be reached out via phone at 973-588-4287.

Provider Profile Details

NPI Number
1902161540
Provider Name
Maryann Capetillo
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
106A Dafrack Dr, Lake Hiawatha, NJ 07034-1358
Phone Number
973-588-4287
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2012
Last Update Date
July 10, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
106A Dafrack Dr
Lake Hiawatha, NJ 07034-1358
Zip
07034-1358
Phone Number
973-588-4287
Lake Hiawatha, NJ 07034Get directions →

Provider Business Mailing Address Details

Address
106A Dafrack Dr
Lake Hiawatha, NJ 07034-1358
City
Lake Hiawatha
State
NJ
Zip
07034-1358
Phone Number
973-588-4287

License Information

License Number
40QA00632800
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Maryann Capetillo, PT?

The NPI number of Mrs. Maryann Capetillo, PT is 1902161540. It was assigned on July 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Maryann Capetillo, PT?

Mrs. Maryann Capetillo, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00632800.

Where does Mrs. Maryann Capetillo, PT practice?

The practice location is 106A Dafrack Dr, Lake Hiawatha, NJ 07034-1358. The office can be reached at 973-588-4287 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902161540 directly on the NPPES registry website.

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