Active NPI
Matthew M Kapolka, PT
- Physical Therapist
- Hingham, MA
National Provider Identifier
1073854808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11972
- Practice address
- 350 Lincoln St
Suite 104
Hingham, MA 02043-1578 - Phone
- (781) 740-4900
- NPI assigned
- Mar 4, 2013
- Last updated
- Mar 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11972 | MA | Primary |
Addresses
Primary practice location
350 Lincoln St
Suite 104
Hingham, MA 02043-1578
Mailing address
350 Lincoln St
Suite 104
Hingham, MA 02043-1578
Phone (781) 740-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11972 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hingham Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1073854808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 LINCOLN ST",
"address_2": "SUITE 104",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020431578",
"telephone_number": "781-740-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LINCOLN ST",
"address_2": "SUITE 104",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020431578",
"telephone_number": "781-740-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPOLKA",
"first_name": "MATTHEW",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.