Capernaum Pediatric Therapy, Inc.
NPI 1619978228 · Specialist · Richfield, MN
Enrolled with Medicare as Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Capernaum Pediatric Therapy, Inc. is a Specialist organization in Richfield, MN (NPI 1619978228).
Provider details
- NPI number
- 1619978228
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Bonna Olson, Physical Therapist/Owner(952) 285-2840
- License
- 2304 (MN)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-04
- Last updated
- 2020-02-13
- Certified
- 2020-02-13
Frequently asked questions
- What is Capernaum Pediatric Therapy, Inc.'s NPI number?
- Capernaum Pediatric Therapy, Inc.'s National Provider Identifier (NPI) is 1619978228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Capernaum Pediatric Therapy, Inc.?
- Capernaum Pediatric Therapy, Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Capernaum Pediatric Therapy, Inc. located?
- Capernaum Pediatric Therapy, Inc.'s practice location on file with NPPES is 6625 Lyndale Ave S Ste 430, Richfield, MN 55423-2373.
- What is Capernaum Pediatric Therapy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Capernaum Pediatric Therapy, Inc. is (952) 285-2840.
- Does Capernaum Pediatric Therapy, Inc. accept Medicare?
- Capernaum Pediatric Therapy, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Capernaum Pediatric Therapy, Inc.?
- The authorized official listed on Capernaum Pediatric Therapy, Inc.'s NPPES record is Bonna Olson, Physical Therapist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Capernaum Pediatric Therapy, Inc.'s NPI active?
- Yes — Capernaum Pediatric Therapy, Inc.'s NPI (1619978228) is active in the NPPES registry as of the last update on 2020-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.