NPIMap

Organization Active NPI

Capitol Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Verona, WI
National Provider Identifier
1184286932
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CAPITOL PHYSICAL THERAPY SPECIALISTS LLC
Practice address
416 E Verona Ave
Verona, WI 53593-1227
Phone
(608) 848-6628
NPI assigned
Jul 2, 2019
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Julie Lombardo, PT,DPT,OCS,WCSNPI 1558447078
Title
Ceo/Owner
Phone
(608) 848-6628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

416 E Verona Ave
Verona, WI 53593-1227

Mailing address

416 E Verona Ave
Verona, WI 53593-1227
Phone (608) 848-6628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806002831 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981931466 Receives reassigned benefits from 35 practitioners
Practice locations: Waunakee, WI; Verona, WI; Mount Horeb, WI; Madison, WI; Sun Prairie, WI

National Provider Directory

National Provider Directory

Locations

3525 University Ave
Madison, WI 53705
Phone (608) 467-3537

223 S Century Ave
Waunakee, WI 53597
Phone (608) 850-7275

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1184286932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931227",
            "telephone_number": "608-848-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931227",
            "telephone_number": "608-848-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL PHYSICAL THERAPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "608-848-6628",
        "authorized_official_credential": "PT,DPT,OCS,WCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.