Individual provider Active NPI

Maria Roselyn Capili Ariston, PT

  • Physical Therapist
  • Crystal Lake, IL
National Provider Identifier
1609248947
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070009907 Issued in IL
Practice address
460 Mira St
Crystal Lake, IL 60012-3529
Phone
(815) 444-8580
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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 070009907 IL Primary

Addresses

Primary practice location

460 Mira St
Crystal Lake, IL 60012-3529

Mailing address

460 Mira St
Crystal Lake, IL 60012-3529
Phone (815) 444-8580

Other names 1

  • Maria Roselyn Capili Llobrera Former name

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

LicenseStateTypeSpecialty
070009907ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1609248947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MIRA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123529",
            "telephone_number": "815-444-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MIRA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123529",
            "telephone_number": "815-444-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISTON",
        "first_name": "MARIA ROSELYN",
        "middle_name": "CAPILI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ROSELYN",
            "last_name": "LLOBRERA",
            "middle_name": "CAPILI",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.