Carlo Mikhail Locsin Capulong, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01894300 Issued in NJ

Practice address

4706 Nathan Hale Dr
Apartment 201
Annandale, VA 22003-4984

Phone

(240) 479-0774

NPI assigned

Jan 11, 2012

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alliance Rehabilitation, LLC

  dba Alliance Physical Therapy

  • Physical Therapist
  • Herndon, VA
  • NPI 1770799041
  NPD

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1356611107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 NATHAN HALE DR",
            "address_2": "APARTMENT 201",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034984",
            "telephone_number": "240-479-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 NATHAN HALE DR",
            "address_2": "APARTMENT 201",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034984",
            "telephone_number": "240-479-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPULONG",
        "first_name": "CARLO MIKHAIL",
        "middle_name": "LOCSIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01894300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Capitol Rehab Annandale, Inc.
• Sophie Cardenuto, MA, CCC-SLP
• Cardiac and Vascular Care of Virginia, P.C.
• Cardinal Acupuncture LLC
• Cardiology Specialists of Virginia
• Care Advantage, Inc.

• Physical Therapist in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.