NPIMap

Organization Active NPI

Capstone Health Services Inc.

Doing business as Capstone Physical Therapy

  • Physical Therapist
  • Ferndale, WA
National Provider Identifier
1861462152
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.
Doing business as
Capstone Physical Therapy
Practice address
1887 Main St Ste 105
Ferndale, WA 98248-9426
Phone
(360) 384-5111
Fax
(360) 384-0006
NPI assigned
Jan 26, 2006
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPSTONE HEALTH SERVICES INC.As reported in NPPES

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 PennerNPI 1295980704
Title
Physical Therapist/Owner
Phone
(360) 255-7876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11742266 WA
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1887 Main St Ste 105
Ferndale, WA 98248-9426

Mailing address

8862 Bender Road
Suite 101
Lynden, WA 98264-8800
Phone (360) 354-1115

Other identifiers 1

IdentifierTypeStateIssuer
7089477MedicaidWA

Other names 1

  • Capstone Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000527 WA Part B Supplier - Clinic/Group Practice 0446414403 Receives reassigned benefits from 44 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bellingham, WA; Blaine, WA; Ferndale, WA; Lynden, WA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Capstone Health Services Inc9 organizations share this tax ID, including this one
Part of
Capstone Health Services Inc

Other organizations with this tax ID 8

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1733 H St
Ste 400
Blaine, WA 98230
Phone (360) 332-5111

1730 Labounty Dr
Ste 5
Ferndale, WA 98248
Phone (360) 380-7336

1740 Labounty Dr
Ste 7
Ferndale, WA 98248
Phone (360) 380-7336

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1861462152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER ROAD",
            "address_2": "SUITE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 MAIN ST STE 105",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489426",
            "telephone_number": "360-384-5111",
            "fax_number": "360-384-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTH SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPSTONE HEALTH SERVICES INC.",
        "enumeration_date": "2006-01-26",
        "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": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "360-255-7876"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "11742266",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7089477",
            "state": "WA"
        }
    ],
    "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 Ferndale, 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.
  • 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.