Provider Demographics
NPI:1710261128
Name:CAPILLI PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:CAPILLI PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPILLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, FAAOMPT
Authorized Official - Phone:315-857-7613
Mailing Address - Street 1:159 W HILL RD
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14903-9318
Mailing Address - Country:US
Mailing Address - Phone:315-857-7613
Mailing Address - Fax:
Practice Address - Street 1:159 W HILL RD
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14903-9318
Practice Address - Country:US
Practice Address - Phone:315-857-7613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0284561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty