Individual provider Active NPI

Michael Capozzi, PT, DPT

  • Physical Therapist
  • Oakland, NJ
National Provider Identifier
1124449590
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01529400 Issued in NJ
Practice address
340 Ramapo Valley Rd
Oakland, NJ 07436
Phone
(201) 651-9100
NPI assigned
Jan 2, 2014
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01529400 NJ Primary

Addresses

Primary practice location

340 Ramapo Valley Rd
Oakland, NJ 07436

Mailing address

340 Ramapo Valley Rd
Oakland, NJ 07436-2711
Phone (201) 651-9100

Other practice location 1

1 W Ridgewood Ave Ste 104
Paramus, NJ 07652-2361
Phone (201) 652-1415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311001402 NJ Practitioner - Physical Therapist in Private Practice 4486884541 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Physical Therapy LLCGroup PAC ID 1456686716, 2 clinicians

Practice addresses (Care Compare)

681 Lawlins Rd
Unit 10
Wyckoff, NJ 07481-1443
Phone (845) 641-4637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Works, LLC Physical Therapist CurrentSince Aug 27, 2018 Accepting new patients
Skyline Physical Therapy LLC CurrentSince Dec 1, 2022 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Jan 7, 2014 Accepting new patients
Sportscare Institute, Inc. Physical Therapist PastSince Jan 7, 2014 Accepting new patients
Orthopedic Specialist of New Jersey PA PastSince May 1, 2008 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

11 Eagle Rock Ave
Fl 2
East Hanover, NJ 07936
Phone (973) 887-3000

340 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 644-0860

1 W Ridgewood Ave
Ste 104
Paramus, NJ 07652
Phone (201) 652-1415

681 Lawlins Rd
Unit 10
Wyckoff, NJ 07481
Phone (201) 275-1379

Organizations & group practices 5

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1124449590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362711",
            "telephone_number": "201-651-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "07436",
            "telephone_number": "201-651-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Ridgewood Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522361",
            "country_code": "US",
            "telephone_number": "201-652-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOZZI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01529400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.