Christopher Scott Kapelka, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA21122 Issued in FL

Practice address

401 Venture Dr
Suite C
South Daytona, FL 32119-3478

Phone

(386) 763-0084

NPI assigned

Apr 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1689849473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N SWALLOWTAIL DR APT 1701",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294158",
            "telephone_number": "386-956-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VENTURE DR",
            "address_2": "SUITE C",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193478",
            "telephone_number": "386-763-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPELKA",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arminda Jones
• Kimberly Jones
• Precious C Jones
• Brenda Joseph, RN
• Lukia Kalibbala
• Jennifer Kelly, CD(DONA)
• Brittney Kerchief
• Asad Hamid Khan, MD
• Gohar Shamshad Khan, M.D.
• Susan Rita Kicklighter, MSW

• Physical Therapy Assistant in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.