# CAPITAL PHYSICAL THERAPY AND FITNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093358616
- **Authorized official:** MATTHEW TAYLOR PT, DPT, CSCS, CLT (CEO, PT)
- **Authorized official phone:** (304) 926-0913

## Contact information

- **Practice address:** 4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
- **Practice address phone:** (304) 926-9091
- **Practice address fax:** (304) 926-0914
- **Mailing address:** 4216 MACCORKLE AVE SE STE 4, CHARLESTON, WV 25304-2539
- **Mailing address phone:** (304) 926-0913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2019
- **Last updated:** 12/16/2019