Individual provider Active NPI

Matthew Joseph Cappelli, MPT

  • Physical Therapist
  • Lafayette Hill, PA
National Provider Identifier
1184715385
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013569-L Issued in PA
Practice address
4000 Foxhound Dr
Lafayette Hill, PA 19444-1014
Phone
(610) 952-7329
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 21921 MD
Physical Therapist 225100000X 013569-L PA Primary

Addresses

Primary practice location

4000 Foxhound Dr
Lafayette Hill, PA 19444-1014

Mailing address

112 Earlington Rd
Havertown, PA 19083-5529

Other practice location 1

304 North St
Suite 4
Elkton, MD 21921-5570
Phone (410) 392-5550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311000351 PA Practitioner - Physical Therapist in Private Practice 6002046133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21921MDMDPhysical Therapist
013569-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A3 Physical Therapy and Wellness Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Physiotherapy Associates - Union Rehab LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1184715385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EARLINGTON RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FOXHOUND DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441014",
            "telephone_number": "610-952-7329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 North St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215570",
            "country_code": "US",
            "telephone_number": "410-392-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPPELLI",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "21921",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "013569-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.