Jeffrey Frank Cappuccio, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC-003212-L Issued in PA

Practice address

1635 Brodhead Rd
Moon TWP, PA 15108-3842

Phone

(724) 457-1900

Fax

(724) 457-1901

NPI assigned

Jun 16, 2005

Last updated

Oct 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bon Meade Chiropractic Center, LLC

  • Chiropractor
  • Coraopolis, PA
  • NPI 1265087225

  Sports Physician

  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1275538183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 BRODHEAD RD",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151083842",
            "telephone_number": "724-457-1900",
            "fax_number": "724-457-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 BRODHEAD RD",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151083842",
            "telephone_number": "724-457-1900",
            "fax_number": "724-457-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPUCCIO",
        "first_name": "JEFFREY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC-003212-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1723250/01",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurora Recovery Services, LLC
• Sarah Beth Bartko, LPC
• Brenna Bish, OD
• Shannon Elizabeth Booth, PT, DPT
• Bryson Bresnahan, PH.D.
• Maria Macarena Castellon, MS,LAPC, NCC
• Nicole Decaria Chenet, DDS
• Darla M Clayton, PSY.D
• David A Corral, MD
• Alene Marie D'Alesio, DMD

• Sports Physician Chiropractor in Moon TWP, PA
• Providers in Moon TWP, PA by specialty
• Sports Physician Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.