Individual provider Active NPI

Alexandra Pepper Capra, DPT

  • Physical Therapist
  • Kernersville, NC
National Provider Identifier
1154974434
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19208 Issued in NC
Practice address
905 Old Winston Rd Ste B
Kernersville, NC 27284-6640
Phone
(336) 992-2787
Fax
(336) 993-9943
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 P19208 NC Primary

Addresses

Primary practice location

905 Old Winston Rd Ste B
Kernersville, NC 27284-6640

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223001200 NC Practitioner - Physical Therapist in Private Practice 8921432170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proptnc,LLCGroup PAC ID 1456536713, 8 clinicians

Practice addresses (Care Compare)

112 Walmart Supercenter
Siler City, NC 27344-6756
Phone (919) 799-2226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Nov 25, 2019 Accepting new patients
Carolina Physical Therapy Specialists, Inc Physical Therapist CurrentSince Nov 10, 2019 Accepting new patients
Proptnc,LLC Physical Therapist CurrentSince May 15, 2022 Accepting new patients

Locations

10102 S Main St
Ste S
Archdale, NC 27263
Phone (336) 307-3015

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

905 Old Winston Rd
Ste B
Kernersville, NC 27284
Phone (336) 287-5526

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

112 Walmart Supercenter
Siler City, NC 27344
Phone (919) 799-2216

Organizations & group practices 3

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1154974434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 OLD WINSTON RD STE B",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846640",
            "telephone_number": "336-992-2787",
            "fax_number": "336-993-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRA",
        "first_name": "ALEXANDRA",
        "middle_name": "PEPPER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.