NPIMap

Organization Active NPI

Capstone Health Services Inc.

  • Physical Therapist
  • Bothell, WA
National Provider Identifier
1790397974
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CAPSTONE HEALTH SERVICES INC.
Practice address
24118 Bothell Everett Hwy Unit 400
Bothell, WA 98021-9379
Phone
(360) 354-1115
Fax
(360) 354-0321
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Jeannett Penner, DPT
Title
DPT/Owner
Phone
(360) 255-7876

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

24118 Bothell Everett Hwy Unit 400
Bothell, WA 98021-9379

Mailing address

8862 Bender Rd Ste 101
Lynden, WA 98264-8800
Phone (360) 255-7876

Other names 1

  • Capstone Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capstone Health Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1790397974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD STE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800",
            "telephone_number": "360-255-7876",
            "fax_number": "360-216-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24118 BOTHELL EVERETT HWY UNIT 400",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219379",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "JEANNETT",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "360-255-7876",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capstone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.