Active NPI
Fides Noguera Capuyan, PT
- Physical Therapist
- Stafford, TX
National Provider Identifier
1699179085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1064772
- Practice address
- 710 Bold Ruler Dr
Stafford, TX 77477-6355 - Phone
- (281) 261-6555
- NPI assigned
- Oct 15, 2014
- Last updated
- Oct 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1064772 | TX | Primary |
Addresses
Primary practice location
710 Bold Ruler Dr
Stafford, TX 77477-6355
Mailing address
710 Bold Ruler Dr
Stafford, TX 77477-6355
Phone (281) 261-6555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1064772 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1699179085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 BOLD RULER DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774776355",
"telephone_number": "281-261-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 BOLD RULER DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774776355",
"telephone_number": "281-261-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUYAN",
"first_name": "FIDES",
"middle_name": "NOGUERA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1064772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
- Candlelight Hospice Care LLC
- Viviana Canivel
- Cantex Continuing Care Network LLC (Pharmacare)
- Cantex Home Health Houston LLC (TheraCare Home Health)
- Vivian Cantu, LVN
- Taylor Marie Caraway, RN
- Nikoletta Leontaritis Carayannopoulos, DO
- Cardex Diagnostics LLC
- Care 101 Pharmacy LLC (Care 101 Pharmacy)
- Care and Laughter Assisted Living and Provider Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.