Active NPI
Jaclyn Capacete, LPTA
- Physical Therapy Assistant
- Chesapeake, VA
National Provider Identifier
1538715560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306604944
- Practice address
- 113 Gainsborough SQ Ste 300
Chesapeake, VA 23320-1714 - Phone
- (757) 455-5000
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306604944 | VA | Primary |
Addresses
Primary practice location
113 Gainsborough SQ Ste 300
Chesapeake, VA 23320-1714
Mailing address
5604 Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-5631
Phone (757) 455-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaclyn@adlertherapygroup.com | JP Therapy, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306604944 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Therapy, LLC | Current | Accepting new patients |
Locations
113 Gainsborough Sq
Ste 300
Chesapeake, VA 23320
Phone (757) 547-9286
5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Rehabilitation Occupational Therapist
- Virginia Beach, VA
- NPI 1851770598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1538715560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 VIRGINIA BEACH BLVD STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625631",
"telephone_number": "757-455-5000",
"fax_number": "757-319-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 GAINSBOROUGH SQ STE 300",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201714",
"telephone_number": "757-455-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPACETE",
"first_name": "JACLYN",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306604944",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaclyn@adlertherapygroup.com",
"affiliation": "Y",
"affiliationName": "JP Therapy, LLC",
"address_1": "5340 Powhatan Ave",
"city": "Norfolk",
"state": "VA",
"country_code": "US",
"postal_code": "235081330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.