DR. MICHAEL JUDE CAPOBIANCHI JR. (NPI# 1093231219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093231219 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JUDE CAPOBIANCHI JR. |
| Credential | PT, DPT |
| Practice Address |
3665 S 8400 W Ste 210 Magna UT 84044-4909 |
| Mailing Address |
1932 S Mcclelland St Apt 3 Salt Lake City UT 84105-3444 |
| Practice Telephone | 8012506733 |
| Mailing Telephone | 2156226653 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
10403368-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10403368-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14572 S 790 W Ste B, Bluffdale, UT 840652373 | 8015713030 |
| Street Address |
3665 S 8400 W STE 210 |
| City | MAGNA |
| State | UT |
| Zip Code | 84044-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023568946 | Matthew Warner | Physical Therapist | 3665 S 8400 W Ste 210, Magna, UT 84044-4909 | 2016-10-04 |
| 1285259101 | Andrew Simon | Physical Therapist | 3665 S 8400 W Ste 210, Magna, UT 84044-4909 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376073965 | Danielle Lauren Tanner | Social Worker | 8265 W. 2700 South, Magna, UT 84044 | 2017-06-15 |
| 1316485774 | Alina Crawford | Specialist | 9115 W Magna Main St, Magna, UT 84044 | 2017-02-06 |
| 1437469756 | Ashley Christine Prescott | Counselor | 2711 S 8500 W, Magna, UT 84044 | 2010-10-20 |
| 1548578511 | Valerie D Liggett | Social Worker | 2700 South 8537 West, Magna, UT 84044 | 2010-09-23 |
| 1265642334 | Tab Bingham | Dentist | 8370 W 3500 S, Magna, UT 84044 | 2007-05-23 |
| 1962437251 | Catherine Luverne Baxter | Nurse Practitioner | 840 W 3665 S, Magna, UT 84044 | 2006-07-12 |
| 1710918586 | Marliese Lovelei Lloyd | Physician Assistant | 8211 W 3500 So, Magna, UT 84044 | 2006-07-06 |
| 1093771446 | Kristine Holly Frost | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-04-25 |
| 1124175161 | Marilyn Marie Chan | Nurse Practitioner | 8925 South 2700 West, West Jordan, UT 84044 | 2007-01-04 |
| 1922163401 | Kevin Macfarlane | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-12-26 |
| Find all providers in zip 84044 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940670 | Austin Jay Nielsen | Physical Therapist | 155 W Canyon Crest Rd Ste 100, Alpine, UT 84004-2031 | 2019-09-04 |
| 1669934378 | Heidi Olsen Tidwell | Physical Therapist | 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 | 2019-04-02 |
| 1689148454 | Sargent Doil Barnett | Physical Therapist | 822 Turf Farm Rd Unit 3, Payson, UT 84651-5797 | 2019-01-15 |
| 1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
| 1902390123 | Andrea Marie Hendricks Harper | Physical Therapist | 98 N 1100 E Ste 402, American Fork, UT 84003-2951 | 2018-06-20 |
| 1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
| 1134636269 | Elevation Physical Therapy | Physical Therapist | 985 W Riverdale Rd Ste 2, Riverdale, UT 84405-5601 | 2018-01-10 |
| 1336652957 | Brian Lewis Wike I | Physical Therapist | 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | 2017-11-06 |
| 1538616230 | Michelle Smith | Physical Therapist | 1794 Olympic Pkwy, Suite 140, Park City, UT 84098-6387 | 2016-09-09 |
| 1558712455 | Tyler Landgren | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.