Provider Demographics
NPI:1629118047
Name:CAPITAL THERAPY, P.A.
Entity Type:Organization
Organization Name:CAPITAL THERAPY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:THARRINGTON
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:850-656-1600
Mailing Address - Street 1:2424 MILLCREEK CT
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-8301
Mailing Address - Country:US
Mailing Address - Phone:850-656-1600
Mailing Address - Fax:850-656-9200
Practice Address - Street 1:2424 MILLCREEK CT
Practice Address - Street 2:SUITE 1
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-8301
Practice Address - Country:US
Practice Address - Phone:850-656-1600
Practice Address - Fax:850-656-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 1658235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty