Individual provider Active NPI

Jonathan Cappotelli

  • Physical Therapist
  • Woodmere, NY
National Provider Identifier
1952946725
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
104 Combs Ave
Woodmere, NY 11598-1431
Phone
(585) 330-6157
NPI assigned
Nov 15, 2019
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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 Primary

Addresses

Primary practice location

104 Combs Ave
Woodmere, NY 11598-1431

Mailing address

104 Combs Ave
Woodmere, NY 11598-1431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191129000031 NY Practitioner - Physical Therapist in Private Practice 0345673612 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbaum Physical Therapy PLLCGroup PAC ID 7315309796, 3 clinicians

Practice addresses (Care Compare)

4 Whittlers RDG
Pittsford, NY 14534-4522
Phone (585) 622-4668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Rehabilitation LLP CurrentSince Apr 6, 2024 Accepting new patients
Brownstone Physical Therapy, P.C. CurrentSince Nov 1, 2022 Accepting new patients
Home-Based Physical Therapy PLLC Physical Therapist CurrentSince Jul 6, 2024 Accepting new patients
Metro Care Providers PT, PLLC Physical Therapist CurrentSince Jul 6, 2024 Accepting new patients
Cappotelli Physical Therapy PLLC Jonathan K Cappotelli Sole MBR Physical Therapist Current Accepting new patients
Greenbaum Physical Therapy PLLC Physical Therapist CurrentSince Sep 19, 2025 Accepting new patients

Locations

170 Murray St
Auburn, NY 13021
Phone (315) 253-2755

1900 State Route 31
Ste 12
Macedon, NY 14502
Phone (315) 331-3784

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1952946725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981431",
            "telephone_number": "585-330-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPOTELLI",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.