Healthcare Provider Details

I. General information

NPI: 1124558598
Provider Name (Legal Business Name): CAPITOL PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2017
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 H ST NW STE 1100
WASHINGTON DC
20005-5967
US

IV. Provider business mailing address

1331 H ST NW STE 200
WASHINGTON DC
20005-4706
US

V. Phone/Fax

Practice location:
  • Phone: 202-794-6821
  • Fax: 202-897-2169
Mailing address:
  • Phone: 202-794-6821
  • Fax: 202-897-2169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number871202
License Number StateDC

VIII. Authorized Official

Name: KATHY SANCHEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 202-794-6821