Organization Active NPI

Accelerated Physical Therapy and Occupational Health, Inc

  • Physical Therapist
  • Bay St Louis, MS
National Provider Identifier
1881759686
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1744 Issued in MS
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

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Mr. Matthew Thomas Capo, PTNPI 1427113208
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.