Active NPI
Lorraine Cappelli, PT
- Specialist
- Fairfax, VA
National Provider Identifier
1639155369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2305001448
- Practice address
- 3031 Javier Rd
Suite 100
Fairfax, VA 22031-4637 - Phone
- (703) 208-1002
- Fax
- (703) 208-1127
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2305001448 | VA | Primary |
Addresses
Primary practice location
3031 Javier Rd
Suite 100
Fairfax, VA 22031-4637
Mailing address
PO Box 1769
Middleburg, VA 20118-1769
Phone (540) 687-8181
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K342-0012 | Other | VA | CAREFIRST |
| 7975531 | Other | VA | AETNA |
| 4123410 | Other | VA | MAMSI |
| 175382 | Other | VA | ANTHEM |
| 3795591 | Other | VA | AETNA-HMO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305001448 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1639155369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1769",
"city": "MIDDLEBURG",
"state": "VA",
"postal_code": "201181769",
"telephone_number": "540-687-8181",
"fax_number": "540-687-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 JAVIER RD",
"address_2": "SUITE 100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314637",
"telephone_number": "703-208-1002",
"fax_number": "703-208-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPELLI",
"first_name": "LORRAINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "2305001448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "K342-0012",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7975531",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "4123410",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "175382",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "3795591",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.