Shayne Matthew Capone, PTA
Physical Therapy Assistant in Lansing, MI. Individual provider (NPI-1).
NPI number1396200317
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1396200317
- Entity type
- Individual (NPI-1)
- Name
- Shayne Matthew Capone
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2019
- Last updated
- Feb 4, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5502005446 | MI | Yes |
Practice location
1568 Lake Lansing Rd Ste BLansing, MI 48912-3707
Phone 517-483-2734
Mailing address
1568 Lake Lansing Rd Ste BLansing, MI 48912-3707
Phone 517-483-2734
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 65 Physical Therapy Assistant providers in Lansing · All 6,568 providers in Lansing
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