Active NPI
Matthew T Cappetta, OTR/L
- Occupational Therapist
- South Sioux City, NE
National Provider Identifier
1245519008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1554
- Practice address
- 3501 Dakota Ave
South Sioux City, NE 68776-3641 - Phone
- (140) 249-5344
- NPI assigned
- Aug 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1554 | NE | Primary |
Addresses
Primary practice location
3501 Dakota Ave
South Sioux City, NE 68776-3641
Mailing address
5405 Stone Ave
Sioux City, IA 51106-2037
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1554 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1245519008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 STONE AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511062037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 DAKOTA AVE",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763641",
"telephone_number": "140-249-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPETTA",
"first_name": "MATTHEW",
"middle_name": "T",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.