Matthew Thomas Capo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1744 Issued in MS

Practice address

833 Highway 90 Ste 2
Bay St Louis, MS 39520-1601

Phone

(228) 463-9030

Fax

(228) 463-0103

NPI assigned

Dec 22, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Accelerated Physical Therapy and Occupational Health, Inc

  • Physical Therapist
  • Bay St Louis, MS
  • NPI 1881759686
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427113208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 KOME DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253816",
            "telephone_number": "228-255-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 HIGHWAY 90 STE 2",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201601",
            "telephone_number": "228-463-9030",
            "fax_number": "228-463-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPO",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119094",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion B Brewer, FNP-C
• Desiree Bridges-Mitchell
• Diane Lynn Brunet
• Joyce Deloris Buie, FNP
• Deanna Nariel Campbell
• Daniel Caridad
• Kimsey Michelle Cavalier
• Champion Family Medical & Wellness
• Champion Family Medical & Wellness Center- Urgent Care
• Changing Minds, LLC

• Physical Therapist in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.