Individual provider Active NPI

Angela Kapicak Rigdon, PT

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1629177654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022191-1 Issued in NY
Practice address
4651 Nixon Park Dr
Syracuse, NY 13215-9759
Phone
(315) 492-0592
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 022191-1 NY Primary

Addresses

Primary practice location

4651 Nixon Park Dr
Syracuse, NY 13215-9759

Mailing address

4651 Nixon Park Dr
Syracuse, NY 13215-9759
Phone (315) 492-0592

Other identifiers 1

IdentifierTypeStateIssuer
02408708MedicaidNY

Other names 1

  • Miss Angela Dawn Kapicak 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
022191-1NYMDPhysical Therapist
022191NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio One Physical Therapy PLLC Physical Therapist Current Accepting new patients

Locations

8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629177654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 NIXON PARK DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132159759",
            "telephone_number": "315-492-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 NIXON PARK DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132159759",
            "telephone_number": "315-492-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGDON",
        "first_name": "ANGELA",
        "middle_name": "KAPICAK",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022191-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KAPICAK",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.