Amy D Candon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0003503 Issued in VT

Practice address

1 Kennedy Dr Unit 3
South Burlington, VT 05403-7152

Phone

(802) 863-3323

Fax

(802) 863-3288

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Amy D. Candon, PT, PLC

  • Physical Therapy Clinic/Center
  • South Burlington, VT
  • NPI 1639554496

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Yellow House Enterprises, LLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1922285451
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1013985795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DR UNIT 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037152",
            "telephone_number": "802-863-3323",
            "fax_number": "802-863-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DR UNIT 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037152",
            "telephone_number": "802-863-3323",
            "fax_number": "802-863-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDON",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0003503",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431552002",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Calderon, PHARMD
• Amy Caldwell, NCC, LCMHC
• Callia Zimmerman Licsw Ladc LLC
• Eliza Callwood, DMD
• Tracey Campbell, NP
• Molly Caner, RN
• Cannizzaro Physical Therapy, PLC
• Lena Maria Cannizzaro, PT, DPT
• Alison Card, MS, CCC-SLP
• Donnamarie Carey, LADC LCMHC

• Physical Therapist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.