Active NPI
Laura Capp, PT, DPT, ATC
- Physical Therapist
- Hillside, IL
National Provider Identifier
1740618362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.019469
- Practice address
- 1815 S Wolf Rd
Hillside, IL 60162-2110 - Phone
- (847) 910-9719
- NPI assigned
- Oct 16, 2013
- Last updated
- Aug 4, 2016
- 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 | 070.019469 | IL | Primary |
| Athletic Trainer | 2255A2300X | 096002849 | IL |
Addresses
Primary practice location
1815 S Wolf Rd
Hillside, IL 60162-2110
Mailing address
1815 S Wolf Rd
Hillside, IL 60162-2110
Phone (847) 910-9719
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 |
|---|---|---|---|
| 070.019469 | IL | MD | Physical Therapist |
| 096002849 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1740618362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 S WOLF RD",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601622110",
"telephone_number": "847-910-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 S WOLF RD",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601622110",
"telephone_number": "847-910-9719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPP",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.019469",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096002849",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.