MEDICARE: DARLA JEAN CAPA 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	305734	CA

General Provider Information

NPI Number	:	1881452340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLA JEAN CAPA PT, DPT

Provider Business Mailing Address
First Line	:	23411 SUMMERFIELD APT 9L
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-2889
Country	:	US
Telephone Number	:	949-232-0231
Fax Number	:

Provider Business Practice Location Address
First Line	:	23411 SUMMERFIELD APT 9L
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-2889
Country	:	US
Telephone Number	:	949-232-0231
Fax Number	:	949-607-4649

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

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	02/06/2026

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