MEDICARE: KERRI CAPRETTI PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT-30376	AZ
2	225100000X	Physical Therapist	296571	CA
3	225100000X	Physical Therapist	PT32881	FL
4	225100000X	Physical Therapist	2305215618	VA

General Provider Information

NPI Number	:	1487178513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI CAPRETTI PT, DPT

Provider Business Mailing Address
First Line	:	PO BOX 715868
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19171-5868
Country	:	US
Telephone Number	:	804-915-1910
Fax Number	:

Provider Business Practice Location Address
First Line	:	20041 RIVERSIDE COMMONS PLZ
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20147-5151
Country	:	US
Telephone Number	:	804-915-1910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2017
Last Update Date	:	07/15/2025

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