Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capitol Physical Therapy, PA

Organization Physical Therapist · NPI 1518177971

Capitol Physical Therapy, PA is a Physical Therapist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2648 Ridgewood Rd Ste A
Jackson, MS 39216-4903
Phone: (601) 366-1456
Fax: (601) 366-1448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT0223 (MS)

Record details

NPI number1518177971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Benford — President · (601) 978-1798
NPI enumeratedMay 23, 2007
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing address5888 Ridgewood Rd Ste B, Jackson, MS 39211-2644

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