Active NPI
Cheryl Jeanne Canavan, M.S., P.T.
- Physical Therapist
- Ashford, CT
National Provider Identifier
1225463151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003838
- Practice address
- 82 Kidder Brook Rd
Ashford, CT 06278-1014 - Phone
- (860) 429-4116
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 003838 | CT | Primary |
Addresses
Primary practice location
82 Kidder Brook Rd
Ashford, CT 06278-1014
Mailing address
82 Kidder Brook Rd
Ashford, CT 06278-1014
Phone (860) 428-0634
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003838 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1225463151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 KIDDER BROOK RD",
"city": "ASHFORD",
"state": "CT",
"postal_code": "062781014",
"telephone_number": "860-428-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 KIDDER BROOK RD",
"city": "ASHFORD",
"state": "CT",
"postal_code": "062781014",
"telephone_number": "860-429-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAVAN",
"first_name": "CHERYL",
"middle_name": "JEANNE",
"credential": "M.S., P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.