Janessa Capozzolo, CFO

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

CFO04693 Issued in PA

Practice address

115 Rutt Rd
Bangor, PA 18013-9603

Phone

(610) 216-3916

NPI assigned

May 12, 2021

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1447834692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RUTT RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 RUTT RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139603",
            "telephone_number": "610-216-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOZZOLO",
        "first_name": "JANESSA",
        "credential": "CFO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "PA",
            "license": "CFO04693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIC FITTER",
            "identifier": "0008381761",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Own device",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "115 Rutt Rd",
            "city": "Bangor",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180139603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William P Braun III, MD, L AC
• Concetta L Brown, CRNP
• Timothy J Burt, M.S.
• Carol Ann Campbell, COTA
• Maria Rachelle Canchela, P.T.
• Carl John Catino, PHD
• Scott Michael Cesari, PT
• Deidre Cherry
• Cindy Ann Chopek, OTR
• Christopher J. Nowik, O.D., P.C.

• Orthotic Fitter in Bangor, PA
• Providers in Bangor, PA by specialty
• Orthotic Fitter in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.