Individual provider Active NPI

Cameron Mackenzie Kapec, PHYSICAL THERAPIST

  • Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1851957575
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28508 Issued in MD
Practice address
233 Bell Fork Rd Ste E
Jacksonville, NC 28540-6471
Phone
(910) 238-2259
Fax
(888) 209-9322
NPI assigned
May 17, 2019
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9581 SC
Sports Physical Therapist 2251S0007X 28508 MD
Physical Therapist 225100000X 28508 MD Primary

Addresses

Primary practice location

233 Bell Fork Rd Ste E
Jacksonville, NC 28540-6471

Mailing address

6201 Greenleigh Ave FL 2
Middle River, MD 21220-2004
Phone (410) 933-5412

Other practice location 1

4924 Campbell Blvd Ste 130A
Nottingham, MD 21236-5909
Phone (410) 933-5412

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckapec@synergyptnc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190805000046 NC Practitioner - Physical Therapist in Private Practice 1254668999 Reassigns benefits to 1 organization
I20221025003502 DC Practitioner - Physical Therapist in Private Practice 1254668999 Reassigns benefits to 1 organization
I20241105002408 MD Practitioner - Physical Therapist in Private Practice 1254668999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Physical Therapy at Home LLCGroup PAC ID 7012379134, 15 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

Columbia, MD 21044
Phone (301) 540-6140

4924 Campbell Blvd
Suite 130a
Nottingham, MD 21236-5909
Phone (443) 442-2800

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28508MDMDPhysical Therapist
9581SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Jun 12, 2019 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Aug 17, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Johns Hopkins Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 29, 2024 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Aug 17, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 29, 2024 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 13, 2022 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (301) 818-1575

10980 Grantchester Way
Columbia, MD 21044
Phone (410) 772-6500

6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704

4924 Campbell Blvd
Ste 130A
Nottingham, MD 21236
Phone (443) 442-2050

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

233 Bell Fork Rd
#E
Jacksonville, NC 28540
Phone (910) 238-2259

Organizations & group practices 10

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": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1851957575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE FL 2",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-5412",
            "fax_number": "410-933-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BELL FORK RD STE E",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406471",
            "telephone_number": "910-238-2259",
            "fax_number": "888-209-9322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4924 Campbell Blvd Ste 130A",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212365909",
            "country_code": "US",
            "telephone_number": "410-933-5412",
            "fax_number": "410-933-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPEC",
        "first_name": "CAMERON",
        "middle_name": "MACKENZIE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9581",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "28508",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckapec@synergyptnc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "233 Bell Fork Rd Ste E",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285406471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.