Individual provider Active NPI

Brianna Nicole Capobianco

  • Orthopedic Physical Therapist
  • Middlesex, NJ
National Provider Identifier
1659928786
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA02005800 Issued in NJ
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

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates, PA CurrentSince Dec 7, 2021 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Dec 7, 2021 Accepting new patients
New B E S T Somerset P C Physical Therapist PastSince May 21, 2023 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.

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.

Verify at the official NPI Registry.