NPIMap

Organization Active NPI

Capuchino Therapy Group

  • Speech-Language Pathologist
  • Sacramento, CA
National Provider Identifier
1568538064
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP6954 Issued in CA
Legal business name
CAPUCHINO THERAPY GROUP
Practice address
3601 Marconi Ave
Sacramento, CA 95821-5309
Phone
(916) 481-1300
Fax
(916) 365-9870
NPI assigned
Nov 27, 2006
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Ms. Lula M Capuchino, OTR/LNPI 1780703553
Title
President
Phone
(916) 481-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X OT2084 CA
Ergonomics Physical Therapist 2251E1200X PT23114 CA
Orthopedic Physical Therapist 2251X0800X PT40045 CA
Occupational Therapist 225X00000X 2084 CA
Hand Occupational Therapist 225XH1200X OT2084 CA
Pediatric Occupational Therapist 225XP0200X OT2084 CA
Driving and Community Mobility Occupational Therapist 225XR0403X OT2084 CA
Speech-Language Pathologist 235Z00000X SP6954 CA Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT2084 CA

Addresses

Primary practice location

3601 Marconi Ave
Sacramento, CA 95821-5309

Mailing address

1015 Riley Street
#6268
Folsom, CA 95630-6268
Phone (916) 481-1300

Other identifiers 4

IdentifierTypeStateIssuer
616046300OtherCADEPT OF LABOR
ZZZ72016YOtherCABLUE SHIELD - SP
ZZZ53443YOtherCABLUE SHIELD - PT
ZZZ67977ZOtherCABLUE SHIELD - OT

Other names 1

  • Isis Healthcare Services Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081230000009 CA Part B Supplier - Clinic/Group Practice 2860554839 Receives reassigned benefits from 8 practitioners
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

9580 Oak Avenue Pkwy
Ste 7118
Folsom, CA 95630

11344 Coloma Rd
Ste 542
Gold River, CA 95670

3601 Marconi Ave
Sacramento, CA 95821
Phone (916) 481-1300

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1568538064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 RILEY STREET",
            "address_2": "#6268",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306268",
            "telephone_number": "916-481-1300",
            "fax_number": "916-365-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215309",
            "telephone_number": "916-481-1300",
            "fax_number": "916-365-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPUCHINO THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "CAPUCHINO",
        "authorized_official_first_name": "LULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-481-1300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT23114",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT40045",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2084",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP6954",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "616046300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD - SP",
            "identifier": "ZZZ72016Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD - PT",
            "identifier": "ZZZ53443Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD - OT",
            "identifier": "ZZZ67977Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isis Healthcare Services Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.