MR. ELLIOTT GREGORY CAPONETTI (DPT) – Physical Therapist, NPI 1083015127
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. ELLIOTT GREGORY CAPONETTI (DPT)
1761 University Ave W
Saint Paul, MN 551043509
Phone: (952) 222-5769
Fax: (763) 260-7653
Type: Location
3335 Blaisdell Ave
Minneapolis, MN 554084429
Phone: (952) 222-5769
Fax: (763) 260-7653
Type: Location
200 W ARBOR DR
SAN DIEGO, CA 921039000
Phone: (800) 926-8273
Type: Location
11995 SINGLETREE LN STE 120
EDEN PRAIRIE, MN 553445338
Phone: (952) 373-5720
Fax: (763) 260-7653
Type: Mailing
651 NICOLLET MALL STE 275
MINNEAPOLIS, MN 554021647
Phone: (612) 331-5757
Fax: (763) 260-7653
Type: Location
3737 Moraga Ave Ste B117
San Diego, CA 921175358
Phone: (858) 270-0981
Fax: (858) 270-2901
Type: Location
PO BOX 232410
SAN DIEGO, CA 921932410
Phone:
Type: Mailing
3737 MORAGA AVE STE B117
SAN DIEGO, CA 921175358
Phone: (858) 270-0981
Fax: (858) 270-2901
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210512001872 | I | Physical Therapist In Private Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 87 | 18 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 55104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | MN | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 300 | 20 |
| PHYSICAL THERAPY | MN | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 222 | 19 |
Group practice members
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