Individual provider Active NPI

Jodie Alieze Capell, PT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1922244987
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008093 Issued in WA
Practice address
5340 N Bristol St
Tacoma, WA 98407-2204
Phone
(253) 756-6259
Fax
(866) 556-7521
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008093 WA Primary

Addresses

Primary practice location

5340 N Bristol St
Tacoma, WA 98407-2204

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone (503) 570-3665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171122001986 WA Practitioner - Physical Therapist in Private Practice 8628335890 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00008093WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Premere Rehab LLC Physical Therapist CurrentSince Oct 12, 2021 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients

Locations

4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (360) 901-8111

25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070
Phone (888) 757-3422

5340 N Bristol St
Tacoma, WA 98407
Phone (253) 752-6621

3801 Summitview Ave
Yakima, WA 98902
Phone (509) 853-1805

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1922244987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "503-570-3665",
            "fax_number": "503-570-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N BRISTOL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072204",
            "telephone_number": "253-756-6259",
            "fax_number": "866-556-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPELL",
        "first_name": "JODIE",
        "middle_name": "ALIEZE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.