Active NPI
Michael J Candito, PT
- Physical Therapist
- Greenfield, MA
National Provider Identifier
1184686321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11955
- Practice address
- 306A High St
Greenfield, MA 01301-2611 - Phone
- (413) 773-3379
- Fax
- (413) 776-5050
- NPI assigned
- Apr 4, 2006
- Last updated
- Apr 19, 2021
- 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 | 11955 | MA | Primary |
Addresses
Primary practice location
306A High St
Greenfield, MA 01301-2611
Mailing address
703 Granite St
3Rd FLR
Braintree, MA 02184-5350
Phone (781) 961-3370
Other practice location 1
14 Grove St
Athol, MA 01331-2660
Phone (978) 349-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y68511 | Other | MA | BCBS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
39 Carlon Dr
Northampton, MA 01060
Phone (413) 584-2200
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
- Northampton, MA
- NPI 1982901708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1184686321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 GRANITE ST",
"address_2": "3RD FLR",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845350",
"telephone_number": "781-961-3370",
"fax_number": "781-961-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306A HIGH ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012611",
"telephone_number": "413-773-3379",
"fax_number": "413-776-5050"
}
],
"practiceLocations": [
{
"address_1": "14 Grove St",
"address_purpose": "LOCATION",
"city": "Athol",
"state": "MA",
"postal_code": "013312660",
"country_code": "US",
"telephone_number": "978-349-6999",
"fax_number": "978-249-8178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANDITO",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y68511",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, MA
- Katherine E Cameron, PA-C
- Sophia Campanario Araica
- Danielle Ray Campbell, MSPT
- Jacquelyn Campos
- Fabiola Claudia Cancino Ticona, M.D.
- Jillian Cannon
- Vincent P Capasso, DDS
- Capital Area Hudson Valley New York Dental PC (1st Advantage Dental - Greenfield)
- Capital Area Hudson Valley Ny Dental (1st Advantage Dental)
- Saul Carangelo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.