Ryan Capizzano
Individual provider Active NPI Physical Therapy Assistant · North Franklin, CT
NPI 1629494166 · NPPES record last updated Mar 7, 2014
Key facts
- NPI
- 1629494166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001263 (CT)
- Practice address
- 82 New Park Ave
North Franklin, CT 06254-1807 - Phone
- (860) 823-6221
- NPI assigned
- Mar 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA00870 | RI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA00870 | RI | |
| Physical Therapy Assistant | 225200000X | 001263 | CT | Yes |
Addresses
Primary practice location
82 New Park Ave
North Franklin, CT 06254-1807
Mailing address
324 Switch Rd
Hope Valley, RI 02832-3306
Other providers in North Franklin, CT
- Francesca Biasucci
- Renee Elizabeth Bouffard
- Jadira Eloise Breault
- Aaron Josef Bujdos
- Laura I Burke
- Mark David Carper
- Jennifer Clark
- Laura Collelo
- Adem Lutfi Cosgel
- Jennifer Davis-Muller
All providers in North Franklin, CT · Physical Therapy Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.