Active NPI
Capitol Physical and Hand Therapy, Inc
- Physical Therapist
- Salem, OR
National Provider Identifier
1003978263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CAPITOL PHYSICAL AND HAND THERAPY, INC
- Practice address
- 6250 Commercial St SE
Salem, OR 97306-1333 - Phone
- (503) 485-1666
- Fax
- (503) 581-6867
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas J Williams, P.T.
- Title
- Owner
- Phone
- (503) 910-9561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OR | Primary |
Addresses
Primary practice location
6250 Commercial St SE
Salem, OR 97306-1333
Mailing address
495 State St FL 6
Salem, OR 97301-3757
Phone (503) 910-9561
Other names 1
- Capitol Physical & Hand Therapy, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040507000249 | OR | Part B Supplier - Clinic/Group Practice | 1759370612 |
Receives reassigned benefits from 3 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salem, OR |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432771200000",
"number": "1003978263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 STATE ST FL 6",
"city": "SALEM",
"state": "OR",
"postal_code": "973013757",
"telephone_number": "503-910-9561",
"fax_number": "503-400-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6250 COMMERCIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973061333",
"telephone_number": "503-485-1666",
"fax_number": "503-581-6867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITOL PHYSICAL AND HAND THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2015-05-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-910-9561",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capitol Physical & Hand Therapy, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.