Provider Demographics
NPI:1902111644
Name:CAPERTON, MARGARET PAULETTE (PTA)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:PAULETTE
Last Name:CAPERTON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 LCR 463
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-2653
Mailing Address - Country:US
Mailing Address - Phone:254-230-7620
Mailing Address - Fax:
Practice Address - Street 1:748 LCR 463
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-2653
Practice Address - Country:US
Practice Address - Phone:254-230-7620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2024560225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant