Diane Theresa Capen, PTA, CLT
NPI 1386090645ActiveIndividual· Physical Therapy Assistant· Grand Rapids, MI
Physical Therapy Assistant (PTA, CLT) in Grand Rapids, Michigan, licensed in MI, with an NPI issued in May 2016.
Overview
| NPI | 1386090645 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA, CLT |
| Sole proprietor | No |
| NPI issued | May 5, 2016 |
| Last updated in NPPES | May 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | L304963 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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