Individual provider Active NPI

Carin E Cappadocia, P.T.

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1194004440
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033888 Issued in NY
Practice address
12 Metro Park Rd Ste 208
Albany, NY 12205-1139
Phone
(518) 304-6006
Fax
(518) 304-6006
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 033888 NY Primary

Addresses

Primary practice location

12 Metro Park Rd Ste 208
Albany, NY 12205-1139

Mailing address

12 Metro Park Rd Ste 208
Albany, NY 12205-1139
Phone (518) 304-6006

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

LicenseStateTypeSpecialty
033888NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Physical Therapy, PLLC Physical Therapist Current Accepting new patients

Locations

12 Metro Park Rd
Ste 208
Albany, NY 12205
Phone (518) 288-8318

Organizations & group practices 1

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1194004440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 METRO PARK RD STE 208",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051139",
            "telephone_number": "518-304-6006",
            "fax_number": "518-304-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 METRO PARK RD STE 208",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051139",
            "telephone_number": "518-304-6006",
            "fax_number": "518-304-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPADOCIA",
        "first_name": "CARIN",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.