Capstone Physical Therapy & Fitness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT012924 Issued in PA

Legal business name

CAPSTONE PHYSICAL THERAPY & FITNESS LLC

Practice address

11000 Roosevelt Blvd
World Gym Fitness Center
Philadelphia, PA 19116-3961

Phone

(215) 872-3595

NPI assigned

Jan 22, 2008

Last updated

Jun 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Allen Donathan, PTNPI 1760481154

Title

Owner

Phone

(215) 872-3595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Mark Allen Donathan, MPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1760481154
  Medicare reassignment Care Compare group NPD Authorized official
• Brian Kirby, MSPT

  • Rehabilitation Hospital
  • Philadelphia, PA
  • NPI 1366477242
  Medicare reassignment Care Compare group NPD
• Jacquelyn Dittmeier, DPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1134751910
  NPD
• Leonia Glover

  • Massage Therapist
  • Phila, PA
  • NPI 1720872807

  Single Specialty

  NPD

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1891971818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 GYPSY LN",
            "address_2": "#310",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191295460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 ROOSEVELT BLVD",
            "address_2": "WORLD GYM FITNESS CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163961",
            "telephone_number": "215-872-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE PHYSICAL THERAPY & FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "DONATHAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-872-3595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT012924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin P. Capps, RPH
• Jack Thomas Capra, MD
• Debora Antonia Capriotti, R.PH.
• Maria Rose Capriotti, CRNP
• Brianna Capron, DO
• Capstone Services and Consulting
• Capsule Philadelphia LLC (Capsule Pharmacy)
• Capsule Philadelphia LLC (Capsule Pharmacy)
• Jessica Caputo, CRNP
• Johanne K Caputo

• Physical Therapy Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.