Capitol Physical Therapy Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CAPITOL PHYSICAL THERAPY CENTER INC

Practice address

2288 Auburn Blvd Ste 107
Sacramento, CA 95821-1619

Phone

(916) 446-1497

Fax

(916) 446-5959

NPI assigned

Aug 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Alysa Koreen Caulfield, PT DPTNPI 1730197732

Title

Owner Physical Therapist

Phone

(916) 446-1497

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cary Michael Caulfield, PT CSCS

  • Physical Therapist
  • Sacramento, CA
  • NPI 1205844206
  Medicare reassignment Care Compare group NPD
• Queenie Lim, PT

  • Physical Therapist
  • Elk Grove, CA
  • NPI 1831784727
  Medicare reassignment Care Compare group NPD
• Anthony Sampson Pease, MPT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1174837819
  Medicare reassignment Care Compare group NPD
• Wendy A Voss, PT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1700921335
  Medicare reassignment Care Compare group NPD
• Alysa Koreen Caulfield

  • Physical Therapist
  • Sacramento, CA
  • NPI 1730197732
  NPD Authorized official
• Sean Patrick Fernald, PTA

  • Physical Therapy Assistant
  • Roseville, CA
  • NPI 1437876984
  NPD
• Laura Santana Bower, PT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1710910658
  NPD (past)
• Hope Marilyn Broman, MSPT

  • Physical Therapist
  • Roseville, CA
  • NPI 1023185568
  NPD (past)
• Matthew Macgregor Donaldson, PT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1932117934
  NPD (past)
• Jemelee N Peralta, PTA

  • Physical Therapy Assistant
  • Sacramento, CA
  • NPI 1770175077
  NPD (past)
• Alysia Lee Prewitt, PTA

  • Physical Therapy Assistant
  • Sacramento, CA
  • NPI 1558675306
  NPD (past)
• Brandon M Stone, PTA

  • Physical Therapy Assistant
  • Sacramento, CA
  • NPI 1629414453
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1649288648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211619",
            "telephone_number": "916-446-1497",
            "fax_number": "916-446-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211619",
            "telephone_number": "916-446-1497",
            "fax_number": "916-446-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8569 Bond Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956249523",
            "country_code": "US",
            "telephone_number": "916-714-1177",
            "fax_number": "916-714-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1895 E Roseville Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956617977",
            "country_code": "US",
            "telephone_number": "916-782-2761",
            "fax_number": "916-751-2430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Douglas Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Granite Bay",
            "state": "CA",
            "postal_code": "957465902",
            "country_code": "US",
            "telephone_number": "916-782-2761",
            "fax_number": "916-751-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITOL PHYSICAL THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "CAULFIELD",
        "authorized_official_first_name": "ALYSA",
        "authorized_official_middle_name": "KOREEN",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "916-446-1497",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ46010Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capitol City Power Chairs, Inc.
• Capitol Family Medical Associates, Inc
• Capitol Imaging Inc
• Capitol Oral-Systemic Health Inc
• Capitol Pharmacy Inc
• Capitol Psychological Assessment, Inc.
• Capitol Rapid Care
• Capitol Surgical Associated,Apc
• Capitol Urgent Care Inc
• Capitol Urology Medical Group Inc

• Physical Therapy Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.