Healthcare Provider Details

I. General information

NPI: 1184817728
Provider Name (Legal Business Name): CAPITOL AREA PHYSICAL THERAPY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12800 ESCANABA DR SUITE 3
DEWITT MI
48820-8680
US

IV. Provider business mailing address

PO BOX 558
DEWITT MI
48820-0558
US

V. Phone/Fax

Practice location:
  • Phone: 517-333-8550
  • Fax: 517-333-8539
Mailing address:
  • Phone: 517-333-8550
  • Fax: 517-333-8539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number5501001463
License Number StateMI

VIII. Authorized Official

Name: MR. LOUIS P FINOS
Title or Position: ADMINISTRATOR
Credential: P.T.
Phone: 517-333-8550