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

Individual provider Physical Therapy Assistant · NPI 1386090645

Diane Theresa Capen, PTA, CLT is a Physical Therapy Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone: (616) 840-8301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence L304963 (MI)

Record details

NPI number1386090645
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , CLT
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2016

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