Individual provider Active NPI

Noel Christian Capuno

  • Orthopedic Physical Therapist
  • Pelham, NY
National Provider Identifier
1619795259
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
052555-01 Issued in NY
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

LicenseStateTypeSpecialty
052555-01NYMDOrthopedic Physical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 052555-01 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.