Nicholas Anthony Capobianco, PT, DPT

Individual provider Active NPI Physical Therapist · Windham, NH

NPI 1689451304 · NPPES record last updated Sep 14, 2023

Key facts

NPI
1689451304
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
32 Indian Rock Rd Unit 5
Windham, NH 03087-1697
Phone
(603) 890-8541
NPI assigned
Sep 14, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scaccia Physical Therapy and Sports Conditioning, LLC (7 clinicians)

Practice addresses (Care Compare)

1595 Bridge St
Unit 5
Dracut, MA 01826-2696
Phone (978) 735-4479

32 Indian Rock Rd
Unit 5
Windham, NH 03087-1697
Phone (603) 890-8541

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NH, MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240513001620 NH Practitioner - Physical Therapist in Private Practice 3072954767 Reassigns benefits to 1 organization
I20240513001893 MA Practitioner - Physical Therapist in Private Practice 3072954767 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Scaccia Physical Therapy & Sports Conditioning, LLC Physical Therapist Current
since Mar 27, 2024
Accepting new patients

Locations

32 Indian Rock Rd
Unit 5
Windham, NH 03087
Phone (603) 890-8541

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

32 Indian Rock Rd Unit 5
Windham, NH 03087-1697

Mailing address

32 Indian Rock Rd Unit 5
Windham, NH 03087-1697
Phone (603) 890-8541

Other practice location 1

1595 Bridge St
Dracut, MA 01826-2696
Phone (978) 735-4479

Other providers in Windham, NH

All providers in Windham, NH · Physical Therapist in New Hampshire

Sources for this page

Verify at the official NPI Registry.