Oliver Canahuate, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1247285 Issued in NC

Practice address

10000 W 75TH St Ste 250
Merriam, KS 66204-2218

Phone

(888) 913-1910

NPI assigned

Mar 6, 2021

Last updated

Jun 11, 2021By the provider in NPPES

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 NC

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novant Health Medical Group, LLC

  dba Novant Health Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282
  Medicare reassignment NPD
• R3PT and Wellness LLC

  • Physical Therapist
  • Charlotte, NC
  • NPI 1487451969
  NPD Authorized official
• Novant Medical Group Inc

  dba Novant Health Lakeside Physical Therapy & Sports Medicine

  • Physical Therapist
  • Huntersville, NC
  • NPI 1407197643
  NPD
• Foundation Health Systems LLC

  dba Novant Health Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1144815606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 PATHWAY DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167709",
            "telephone_number": "919-923-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST STE 250",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042218",
            "telephone_number": "888-913-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAHUATE",
        "first_name": "OLIVER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "1247285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ocanahuate852881@direct.novanthealth.org",
            "affiliation": "Y",
            "affiliationName": "Novant Medical Group, Inc",
            "address_1": "8420 University Exec Park Dr Ste 850",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282621308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Cadiz, PTA
• Carmine J. Cagle, P.T.A.
• Trista Calhoun, FNP-C
• Angelica Calleja
• Kathryn E Cameron, D.O.
• Aaron Canfield, DPT, CSCS
• Caring Touch Inc
• Alexus Carlock, PA-C
• Gabriella Faith Chavez
• Kenzie Chew

• Physical Therapist in Merriam, KS
• Providers in Merriam, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.