Active NPI
Noel Christian Capuno
- Orthopedic Physical Therapist
- Pelham, NY
National Provider Identifier
1619795259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 052555-01
- Practice address
- 342 Fifth Ave
Pelham, NY 10803-1204 - Phone
- (914) 738-1748
- Fax
- (914) 738-1749
- NPI assigned
- Oct 2, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 052555-01 | NY | MD | Orthopedic Physical Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 052555-01 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
342 Fifth Ave
Pelham, NY 10803-1204
Mailing address
9421 53Rd Ave
Elmhurst, NY 11373-4611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2024.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1619795259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9421 53RD AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 FIFTH AVE",
"city": "PELHAM",
"state": "NY",
"postal_code": "108031204",
"telephone_number": "914-738-1748",
"fax_number": "914-738-1749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUNO",
"first_name": "NOEL",
"middle_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "052555-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.