Active NPI
Samuel Capers III, OTR/L
- Occupational Therapist
- La Jolla, CA
National Provider Identifier
1982177119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 41047
- Practice address
- 4225 Executive SQ Ste 1500
La Jolla, CA 92037-1487 - Phone
- (858) 248-4947
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 41047 | NY | Primary |
| Occupational Therapist | 225X00000X | 4039 | NM |
Addresses
Primary practice location
4225 Executive SQ Ste 1500
La Jolla, CA 92037-1487
Mailing address
12836 233Rd St
Rosedale, NY 11422-1051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4039 | NM | MD | Physical Therapist |
| 41047 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1982177119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12836 233RD ST",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114221051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 EXECUTIVE SQ STE 1500",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371487",
"telephone_number": "858-248-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPERS III",
"first_name": "SAMUEL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "41047",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "4039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.