Active NPI
Accelerated Physical Therapy and Occupational Health, Inc
- Physical Therapist
- Bay St Louis, MS
National Provider Identifier
1881759686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1744
- Legal business name
- ACCELERATED PHYSICAL THERAPY AND OCCUPATIONAL HEALTH, INC
- Practice address
- 833 Highway 90 Ste 2
Bay St Louis, MS 39520-1601 - Phone
- (228) 463-9030
- Fax
- (228) 463-0103
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Thomas Capo, PT
- Title
- President
- Phone
- (228) 463-9030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1744 | MS | Primary |
Addresses
Primary practice location
833 Highway 90 Ste 2
Bay St Louis, MS 39520-1601
Mailing address
PO Box 3497
Bay St Louis, MS 39521-3497
Phone (228) 463-9030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061228000474 | MS | Part B Supplier - Clinic/Group Practice | 8426058207 |
Receives reassigned benefits from 1 practitioner Practice locations: Bay St Louis, MS; Diamondhead, MS |
National Provider Directory
National Provider DirectoryLocations
833 Highway 90
Ste 2
Bay St Louis, MS 39520
Phone (228) 463-9030
4405 E Aloha Dr
Ste D
Diamondhead, MS 39525
Phone (228) 255-3888
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Bay St Louis, MS
- NPI 1679939326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293580800000",
"number": "1881759686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3497",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395213497",
"telephone_number": "228-463-9030",
"fax_number": "228-463-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 HIGHWAY 90 STE 2",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395201601",
"telephone_number": "228-463-9030",
"fax_number": "228-463-0103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCELERATED PHYSICAL THERAPY AND OCCUPATIONAL HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2010-12-29",
"status": "A",
"authorized_official_last_name": "CAPO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "228-463-9030",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay St Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.