Active NPI
Lula Marie Capuchino, OTR/L
- Driving and Community Mobility Occupational Therapist
- Sacramento, CA
National Provider Identifier
1780703553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driving and Community Mobility Occupational Therapist
- License
- OT2084
- Practice address
- 3601 Marconi Ave
Sacramento, CA 95821-5309 - Phone
- (916) 481-1300
- NPI assigned
- Mar 29, 2007
- Last updated
- May 19, 2022
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT0020840 | Other | CA | BLUE SHIELD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2084 | CA | MD | Orthotic Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capuchino Therapy Group | Orthotic Fitter | Current | 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.