Provider Demographics
NPI:1174517015
Name:CAPUTO, JANET M (PT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1920
Mailing Address - Country:US
Mailing Address - Phone:570-558-0290
Mailing Address - Fax:570-558-0291
Practice Address - Street 1:240 PENN AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1920
Practice Address - Country:US
Practice Address - Phone:570-558-0290
Practice Address - Fax:570-558-0291
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006765L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA562364OtherUS HEALTHCARE
PA079324OtherFIRST PRIORITY HEALTH
PA5886154OtherAETNA
PA650019414OtherRAILROAD MEDICARE
PA001815119Medicaid
PA66866-159BOtherGEISINGER HEALTH PLAN
PACA426823OtherBLUE SHIELD
P12482Medicare UPIN
PA041375PFFMedicare ID - Type Unspecified