NPIMap

Organization Active NPI

Capstone Health Services Inc.

Doing business as Capstone Physical Therapy

  • Physical Therapist
  • Lynden, WA
National Provider Identifier
1336407956
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007467 Issued in WA
Legal business name
CAPSTONE HEALTH SERVICES INC.
Doing business as
Capstone Physical Therapy
Practice address
8862 Bender Rd.
Suite 101
Lynden, WA 98264-9323
Phone
(360) 354-1115
Fax
(360) 354-0321
NPI assigned
May 2, 2012
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Jeannett Michelle Penner, DPT, OCS, GCSNPI 1295980704
Title
DPT/Owner
Phone
(360) 255-7876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00007467 WA Primary

Addresses

Primary practice location

8862 Bender Rd.
Suite 101
Lynden, WA 98264-9323

Mailing address

8862 Bender Rd.
Suite 101
Lynden, WA 98264
Phone (360) 255-7876

Other names 1

  • Capstone Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000527 WA Part B Supplier - Clinic/Group Practice 0446414403 Receives reassigned benefits from 44 practitioners
6 other NPIs on this enrollment
Practice locations: Bellingham, WA; Blaine, WA; Ferndale, WA; Lynden, WA

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Capstone Health Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

414 W Bakerview Rd
Ste 110
Bellingham, WA 98226
Phone (360) 223-3696

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1336407956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD.",
            "address_2": "SUITE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "98264",
            "telephone_number": "360-255-7876",
            "fax_number": "360-354-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD.",
            "address_2": "SUITE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649323",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "JEANNETT",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "360-255-7876",
        "authorized_official_credential": "DPT, OCS, GCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capstone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.