Active NPI
Nicholas Shane Canfield, DPT, PT
- Physical Therapist
- Killen, AL
National Provider Identifier
1093642894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH12652
- Practice address
- 357 Highway 72
Killen, AL 35645 - Phone
- (256) 938-8010
- Fax
- (256) 938-8020
- NPI assigned
- May 6, 2026
- Last updated
- May 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH12652 | AL | Primary |
Addresses
Primary practice location
357 Highway 72
Killen, AL 35645
Mailing address
203 Narrows Pkwy Ste D
Birmingham, AL 35242-8649
Phone (256) 938-8010
Other practice location 1
1404 E Avalon Ave Ste B2
Tuscumbia, AL 35674-1771
Phone (256) 826-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453
357 Hwy 72
Killen, AL 35645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH12652 | AL | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Winfield, AL
- NPI 1568195386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1093642894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 NARROWS PKWY STE D",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352428649",
"telephone_number": "256-938-8010",
"fax_number": "256-938-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 HIGHWAY 72",
"city": "KILLEN",
"state": "AL",
"postal_code": "35645",
"telephone_number": "256-938-8010",
"fax_number": "256-938-8020"
}
],
"practiceLocations": [
{
"address_1": "1404 E Avalon Ave Ste B2",
"address_purpose": "LOCATION",
"city": "Tuscumbia",
"state": "AL",
"postal_code": "356741771",
"country_code": "US",
"telephone_number": "256-826-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANFIELD",
"first_name": "NICHOLAS",
"middle_name": "SHANE",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH12652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killen, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.