Joshua N Lacanlale, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

8754 Issued in AZ

Practice address

3035 S Ellsworth Rd
BLDG 4, #128
Mesa, AZ 85212-2160

Phone

(480) 357-6500

Fax

(480) 357-6515

NPI assigned

Dec 9, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Foothill Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
  • NPI 1609857945

  Orthopedic

  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Canyon State Physical Therapy

  • Physical Therapist
  • Glendale, AZ
  • NPI 1225087158
  NPD (past)
• Olympic Physical Therapy, Inc

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1790733525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1003145715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32490",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850642490",
            "telephone_number": "602-230-4478",
            "fax_number": "602-230-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S ELLSWORTH RD",
            "address_2": "BLDG 4, #128",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122160",
            "telephone_number": "480-357-6500",
            "fax_number": "480-357-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACANLALE",
        "first_name": "JOSHUA",
        "middle_name": "N",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "8754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1650 Eureka Rd.",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Rose Labani
• Michael Jude Labarbera, MD
• Christopher J Labban, D.O.
• Karelle Labrador, APRN FNP-C
• Robert Dale Labrum, M.A., N.C.C., L.P.C
• Shauna Louise Lacanlale, OTR/L
• Victor De Ocampo Lachica, RN
• Ryan Christopher Lacy, DDS
• Mehulkumar Lad
• Morgana Laderer, RBT

• Orthopedic Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.