Healthcare Provider Details

I. General information

NPI: 1770074270
Provider Name (Legal Business Name): TONIANN CAPO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 S CONGRESS AVE
PALM SPRINGS FL
33461-2140
US

IV. Provider business mailing address

8275 CATRIA LN
LAKE WORTH FL
33467-6705
US

V. Phone/Fax

Practice location:
  • Phone: 786-522-9600
  • Fax:
Mailing address:
  • Phone: 561-789-8290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT22828
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT22828
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: