Active NPI
Laura Mary Canali, PT
- Physical Therapist
- Olympia, WA
National Provider Identifier
1114348489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60189410
- Practice address
- 413 Lilly Rd NE
Ms 01B03
Olympia, WA 98506-5133 - Phone
- (360) 493-4511
- NPI assigned
- Jan 3, 2014
- Sex
- Female
- 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 | PT60189410 | WA | Primary |
Addresses
Primary practice location
413 Lilly Rd NE
Ms 01B03
Olympia, WA 98506-5133
Mailing address
1100 Fern St SW Apt 40-201
Olympia, WA 98502-1141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60189410 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1114348489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 FERN ST SW APT 40-201",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985021141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 LILLY RD NE",
"address_2": "MS 01B03",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065133",
"telephone_number": "360-493-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANALI",
"first_name": "LAURA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60189410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.