Individual provider Active NPI

Michael J Candito, PT

  • Physical Therapist
  • Greenfield, MA
National Provider Identifier
1184686321
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11955 Issued in MA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Y68511OtherMABCBS

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

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy LLC Physical Therapist CurrentSince Nov 11, 2021 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.

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

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.

Verify at the official NPI Registry.