Organization Active NPI

Cappis Physical Therapy Associates Inc.

  • Physical Therapy Clinic/Center
  • Great Falls, MT
National Provider Identifier
1023511557
Registry record updated Mar 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTP-PT-LIC-805 Issued in MT
Legal business name
CAPPIS PHYSICAL THERAPY ASSOCIATES INC.
Practice address
3511 1St Ave N Ste 3
Great Falls, MT 59401-3527
Phone
(406) 727-2739
Fax
(406) 453-0959
NPI assigned
Mar 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2018

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

Authorized official

Name
Mr. Matthew Dirk Cappis, PTNPI 1558429878
Title
President
Phone
(406) 727-2739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTP-PT-LIC-805 MT Primary

Addresses

Primary practice location

3511 1St Ave N Ste 3
Great Falls, MT 59401-3527

Mailing address

3511 1St Ave N Ste 3
Great Falls, MT 59401-3527
Phone (406) 727-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180423003019 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092077024 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory

Locations

3511 1st Ave N
Ste 3
Great Falls, MT 59401
Phone (406) 727-2739

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520726400000",
    "number": "1023511557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 1ST AVE N STE 3",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013527",
            "telephone_number": "406-727-2739",
            "fax_number": "406-453-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 1ST AVE N STE 3",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013527",
            "telephone_number": "406-727-2739",
            "fax_number": "406-453-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPPIS PHYSICAL THERAPY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-11",
        "last_updated": "2018-03-11",
        "status": "A",
        "authorized_official_last_name": "CAPPIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DIRK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-727-2739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MT",
            "license": "PTP-PT-LIC-805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2018; 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.

Verify at the official NPI Registry.