Provider Demographics
NPI:1285665414
Name:CAPUTO, JAMES J (LPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:CAPUTO
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2828 MAPLEWOOD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-4138
Mailing Address - Country:US
Mailing Address - Phone:336-765-4703
Mailing Address - Fax:336-765-1396
Practice Address - Street 1:2828 MAPLEWOOD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4138
Practice Address - Country:US
Practice Address - Phone:336-765-4703
Practice Address - Fax:336-765-1396
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist