Active NPI
Anna Pamela Britanico, DPT
- Physical Therapist
- Skokie, IL
National Provider Identifier
1265670913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070015215
- Practice address
- 9933 Lawler Ave Ste 105
Skokie, IL 60077-3753 - Phone
- (847) 786-0213
- NPI assigned
- Feb 2, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 070015215 | IL | Primary |
Addresses
Primary practice location
9933 Lawler Ave Ste 105
Skokie, IL 60077-3753
Mailing address
9933 Lawler Ave
Ste 105
Skokie, IL 60077-3753
Phone (262) 344-2430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070015215 | Other | IL | PRIVATE INSURANCES |
Other names 1
- Anna Pamela Canlas
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015215 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Libertyville Manor Extended Care Facility, Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Libertyville, IL
- NPI 1952390585
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1265670913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9933 LAWLER AVE",
"address_2": "STE 105",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773753",
"telephone_number": "262-344-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9933 LAWLER AVE STE 105",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773753",
"telephone_number": "847-786-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITANICO",
"first_name": "ANNA",
"middle_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070015215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCES",
"identifier": "070015215",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "CANLAS",
"middle_name": "PAMELA",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.