Active NPI
Brianna Nicole Capobianco
- Orthopedic Physical Therapist
- Middlesex, NJ
National Provider Identifier
1659928786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA02005800
- Practice address
- 601 Bound Brook Rd
Middlesex, NJ 08846-2100 - Phone
- (732) 968-4422
- NPI assigned
- Aug 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 044588 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 40QA02005800 | NJ | Primary |
Addresses
Primary practice location
601 Bound Brook Rd
Middlesex, NJ 08846-2100
Mailing address
17660 Union Tpke
Fresh Meadows, NY 11366-1526
Phone (718) 820-9300
Other practice location 1
17660 Union Tpke Ste 195
Fresh Meadows, NY 11366-1538
Phone (718) 820-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211216000537 | NJ | Practitioner - Physical Therapist in Private Practice | 9133459647 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Boro Physical Therapy Associates, PA | Current | Accepting new patients | |
| Twin Boro Physical Therapy Associates PA | Physical Therapist | Current | Accepting new patients |
| New B E S T Somerset P C | Physical Therapist | Past | Accepting new patients |
Locations
2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Clark, NJ
- NPI 1811937527
NJ, Physical Therapist
-
- Occupational Therapist
- Newark, NJ
- NPI 1659874857
-
- Physical Therapist
- Middlesex, NJ
- NPI 1386714475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1659928786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17660 UNION TPKE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661526",
"telephone_number": "718-820-9300",
"fax_number": "718-820-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BOUND BROOK RD",
"city": "MIDDLESEX",
"state": "NJ",
"postal_code": "088462100",
"telephone_number": "732-968-4422"
}
],
"practiceLocations": [
{
"address_1": "17660 Union Tpke Ste 195",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113661538",
"country_code": "US",
"telephone_number": "718-820-9300",
"fax_number": "718-820-9382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPOBIANCO",
"first_name": "BRIANNA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044588",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA02005800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlesex, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.