Individual provider Active NPI

Matthew Dirk Cappis, P.T.

  • Physical Therapist
  • Great Falls, MT
National Provider Identifier
1558429878
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
805 Issued in MT
Practice address
3511 1St Ave N
Suite 3
Great Falls, MT 59401-3527
Phone
(406) 727-2739
Fax
(406) 453-0959
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 805 MT Primary

Addresses

Primary practice location

3511 1St Ave N
Suite 3
Great Falls, MT 59401-3527

Mailing address

PO Box 1546
Great Falls, MT 59403-1546
Phone (406) 727-2739

Other identifiers 1

IdentifierTypeStateIssuer
0348041MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000754 MT Practitioner - Physical Therapist in Private Practice 3072651181 Reassigns benefits to 1 organization
Practice locations: Great Falls, MT

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3511 1St Ave N
Suite 3
Great Falls, MT 59401-3527
Phone (406) 727-2739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
805MTMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cappis Physical Therapy Associates Inc. Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

3511 1st Ave N
Ste 3
Great Falls, MT 59401
Phone (406) 727-2739

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1558429878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1546",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594031546",
            "telephone_number": "406-727-2739",
            "fax_number": "406-453-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 1ST AVE N",
            "address_2": "SUITE 3",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013527",
            "telephone_number": "406-727-2739",
            "fax_number": "406-453-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPIS",
        "first_name": "MATTHEW",
        "middle_name": "DIRK",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348041",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.