Active NPI
Melissa Capannola, PT
- Physical Therapist
- Cary, NC
National Provider Identifier
1114471307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P6621
- Practice address
- 1120 SE Cary Pkwy
Suite 100
Cary, NC 27518-7413 - Phone
- (919) 467-4992
- Fax
- (919) 481-9607
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- 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 | P6621 | NC | Primary |
Addresses
Primary practice location
1120 SE Cary Pkwy
Suite 100
Cary, NC 27518-7413
Mailing address
1120 SE Cary Pkwy
Suite 100
Cary, NC 27518-7413
Phone (919) 467-4992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P6621 | Other | NC | NC LICENSE |
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 |
|---|---|---|---|
| P6621 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1114471307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SE CARY PKWY",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275187413",
"telephone_number": "919-467-4992",
"fax_number": "919-481-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 SE CARY PKWY",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275187413",
"telephone_number": "919-467-4992",
"fax_number": "919-481-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPANNOLA",
"first_name": "MELISSA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P6621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE",
"identifier": "P6621",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.