Healthcare Provider Details

I. General information

NPI: 1063841146
Provider Name (Legal Business Name): TIMOTHY CAPRIO DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2013
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3168 BRAVERTON ST STE 200
EDGEWATER MD
21037-2676
US

IV. Provider business mailing address

3168 BRAVERTON ST STE 200
EDGEWATER MD
21037-2676
US

V. Phone/Fax

Practice location:
  • Phone: 410-956-4308
  • Fax: 410-956-8038
Mailing address:
  • Phone: 410-956-4308
  • Fax: 410-956-8038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number24778
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: