Capital Physical Therapy and Fitness LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CAPITAL PHYSICAL THERAPY AND FITNESS LLC

Practice address

4216 Maccorkle Ave SE Ste 4
Charleston, WV 25304-2539

Phone

(304) 926-9091

Fax

(304) 926-0914

NPI assigned

Oct 26, 2019

Last updated

Dec 16, 2019By 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

Matthew Taylor, PT, DPT, CSCS, CLTNPI 1417591686

Title

Ceo, PT

Phone

(304) 926-0913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Taylor, DPT

  • Physical Therapist
  • Charleston, WV
  • NPI 1417591686

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Langlois, DPT

  • Physical Therapist
  • Charleston, WV
  • NPI 1033725213
  Medicare reassignment Care Compare group NPD
• Jacob Lee Hanshaw, PT, DPT

  • Physical Therapist
  • Charleston, WV
  • NPI 1871144071

  Multi-Specialty

  Medicare reassignment NPD
• Dusty Sanders, PTA

  • Physical Therapy Assistant
  • Charleston, WV
  • NPI 1316773179
  NPD
• Lindsey Shae Wagoner, DPT, ATC

  • Physical Therapist
  • Hurricane, WV
  • NPI 1881269298
  NPD (past)

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1093358616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 MACCORKLE AVE SE STE 4",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042539",
            "telephone_number": "304-926-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 MACCORKLE AVE SE STE 4",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042539",
            "telephone_number": "304-926-9091",
            "fax_number": "304-926-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL PHYSICAL THERAPY AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO, PT",
        "authorized_official_telephone_number": "304-926-0913",
        "authorized_official_credential": "PT, DPT, CSCS, CLT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stepan Capek, MD
• Katie Caperton
• Capital City Pediatrics PLLC
• Capital Management Services Company
• Capital Orthopaedics
• Capital Resource Agency (Comforts of Home)
• Richard A. Capito, MD
• Capitol Endodontics, PLLC
• Capitol Neurology PLLC
• Capitol United Support Inc

• Physical Medicine & Rehabilitation Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Physical Medicine & Rehabilitation Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.