Individual provider Active NPI

Lula Marie Capuchino, OTR/L

  • Driving and Community Mobility Occupational Therapist
  • Sacramento, CA
National Provider Identifier
1780703553
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X
License
OT2084 Issued in CA
Practice address
3601 Marconi Ave
Sacramento, CA 95821-5309
Phone
(916) 481-1300
NPI assigned
Mar 29, 2007
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X OT2084 CA
Ergonomics Occupational Therapist 225XE1200X OT2084 CA
Hand Occupational Therapist 225XH1200X OT2084 CA
Pediatric Occupational Therapist 225XP0200X OT2084 CA
Driving and Community Mobility Occupational Therapist 225XR0403X OT2084 CA Primary
Environmental Modification Occupational Therapist 225XE0001X OT2084 CA

Addresses

Primary practice location

3601 Marconi Ave
Sacramento, CA 95821-5309

Mailing address

PO Box 6268
Folsom, CA 95763-6268
Phone (916) 481-1300

Other identifiers 1

IdentifierTypeStateIssuer
OT0020840OtherCABLUE SHIELD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000006 CA Practitioner - Occupational Therapist in Private Practice 2961564935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT2084CAMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Capuchino Therapy Group Orthotic Fitter CurrentSince Sep 26, 2008 Accepting new patients

Locations

9580 Oak Avenue Pkwy
Ste 7118
Folsom, CA 95630

3601 Marconi Ave
Sacramento, CA 95821
Phone (916) 481-1300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1780703553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6268",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957636268",
            "telephone_number": "916-481-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215309",
            "telephone_number": "916-481-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUCHINO",
        "first_name": "LULA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "CA",
            "license": "OT2084",
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "CA",
            "license": "OT2084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "OT0020840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.