Organization Active NPI

Capitola Physical Therapy Inc

  • Physical Medicine & Rehabilitation Physician
  • Capitola, CA
National Provider Identifier
1013027119
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CAPITOLA PHYSICAL THERAPY INC
Practice address
1200 41St Ave
Suite H
Capitola, CA 95010
Phone
(831) 475-1200
Fax
(831) 475-0142
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Maria Aguilera
Title
Office Manager
Phone
(831) 475-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1200 41St Ave
Suite H
Capitola, CA 95010

Mailing address

1200 41St Ave
Suite H
Capitola, CA 95010
Phone (831) 475-1200

National Provider Directory

National Provider Directory

Locations

1200 41st Ave
Ste H
Capitola, CA 95010
Phone (831) 346-6886

845 Cedar St
Santa Cruz, CA 95060
Phone (831) 423-0845

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1013027119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 41ST AVE",
            "address_2": "SUITE H",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "95010",
            "telephone_number": "831-475-1200",
            "fax_number": "831-475-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 41ST AVE",
            "address_2": "SUITE H",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "95010",
            "telephone_number": "831-475-1200",
            "fax_number": "831-475-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOLA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "AGUILERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-475-1200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.