NPIMap

Organization Active NPI

Capstone Adaptive Learning and Therapy Centers, Inc

  • Speech-Language Pathologist
  • Pensacola, FL
National Provider Identifier
1902968142
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC
Practice address
2912 N E St
Pensacola, FL 32501-1324
Phone
(850) 432-1596
Fax
(850) 432-1930
NPI assigned
Dec 14, 2006
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Dr. Sherry A. White
Title
President Ceo
Phone
(850) 432-1596

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2912 N E St
Pensacola, FL 32501-1324

Mailing address

2912 N E St
Pensacola, FL 32501-1324
Phone (850) 432-1596

Other identifiers 4

IdentifierTypeStateIssuer
811313100MedicaidFL
888221500MedicaidFL
024514396MedicaidFL
024514398MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Capstone Adaptive Learning and Therapy Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2912 N E St
Pensacola, FL 32501
Phone (850) 432-1596

4901 W Fairfield Dr
Pensacola, FL 32506
Phone (850) 432-1596

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1902968142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 N E ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011324",
            "telephone_number": "850-432-1596",
            "fax_number": "850-432-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 N E ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011324",
            "telephone_number": "850-432-1596",
            "fax_number": "850-432-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "850-432-1596",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811313100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888221500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024514396",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024514398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.