NPIMap

Organization Active NPI

Capitol Physical Therapy, Inc

Doing business as Capitol Physical and Hand Therapy, Inc

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1194833756
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAPITOL PHYSICAL THERAPY, INC
Doing business as
Capitol Physical and Hand Therapy, Inc
Practice address
853 Medical Center Dr NE
Salem, OR 97301-2752
Phone
(503) 364-5313
Fax
(503) 364-5296
NPI assigned
Aug 25, 2006
Last updated
Nov 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Thomas J Williams, P.T.NPI 1629186291
Title
Owner, Therapist
Phone
(503) 364-5313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Hand Physical Therapist 2251H1200X
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

853 Medical Center Dr NE
Salem, OR 97301-2752

Mailing address

410 Mill St SE # 1045
Salem, OR 97301-3601
Phone (503) 364-5313

Other names 1

  • Capitol Physical and Hand Therapy, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000249 OR Part B Supplier - Clinic/Group Practice 1759370612 Receives reassigned benefits from 3 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salem, OR

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

410 Mill St SE
#1045
Salem, OR 97301

853 Medical Center Dr NE
Salem, OR 97301
Phone (503) 364-5313

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1194833756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MILL ST SE # 1045",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013601",
            "telephone_number": "503-364-5313",
            "fax_number": "503-364-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MEDICAL CENTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012752",
            "telephone_number": "503-364-5313",
            "fax_number": "503-364-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "503-364-5313",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Physical and Hand Therapy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.