Capacity Physical Therapy & Sports Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CAPACITY PHYSICAL THERAPY & SPORTS PERFORMANCE

Practice address

21800 Barton Rd Ste 109
Grand Terrace, CA 92313-4438

Phone

(817) 564-4623

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Blake Perryman, DPT

Title

Owner and Physical Therapist

Phone

(817) 564-4623

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1063235489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12635 KINGFISHER RD",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 BARTON RD STE 109",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923134438",
            "telephone_number": "817-564-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPACITY PHYSICAL THERAPY & SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "PERRYMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "817-564-4623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Brown-Bailey
• Latoya Mae Brown, MSW
• Jamaal Burrell, B.ED
• Kaylee Skye Rubio Cajimat
• Donna Cano
• Heather Carriedo, M.D.
• Mary Carrillo
• Deanna Joy Case, M.S.
• Gabriel Castellanos
• Crystal Pauline Castillo

• Physical Therapy Clinic/Center in Grand Terrace, CA
• Providers in Grand Terrace, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.