Provider Demographics
NPI:1124368972
Name:KAPATOS, PHILIP DANIEL (PT, DPT, GCS, NCS)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:DANIEL
Last Name:KAPATOS
Suffix:
Gender:
Credentials:PT, DPT, GCS, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-8892
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-5437
Practice Address - Country:US
Practice Address - Phone:910-907-8892
Practice Address - Fax:910-907-6069
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL244582251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology