Individual provider Active NPI

Teresa Lizbeth Caprio, HCBS PROVIDER

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Southwest Ranches, FL
National Provider Identifier
1821742693
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
10-3044GH Issued in FL
Practice address
13711 SW 52ND PL
Southwest Ranches, FL 33330-2523
Phone
(954) 434-3184
Fax
(954) 440-3156
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 10-3044GH FL Primary

Addresses

Primary practice location

13711 SW 52ND PL
Southwest Ranches, FL 33330-2523

Mailing address

3200 SW 116TH Ave
Davie, FL 33330-1720
Phone (954) 436-1900

Other identifiers 1

IdentifierTypeStateIssuer
692249096MedicaidFL

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

LicenseStateTypeSpecialty
10-3044GHFLMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Knock Your Socks Off Foot & Ankle Specialist LLC PastSince Feb 13, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1821742693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 116TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301720",
            "telephone_number": "954-436-1900",
            "fax_number": "954-440-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13711 SW 52ND PL",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302523",
            "telephone_number": "954-434-3184",
            "fax_number": "954-440-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRIO",
        "first_name": "TERESA",
        "middle_name": "LIZBETH",
        "credential": "HCBS PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "10-3044GH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692249096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.