Active NPI
Candy Cayanan
- Physical Therapist
- Lufkin, TX
National Provider Identifier
1265798797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1215063
- Practice address
- 402 S John Redditt Dr
Lufkin, TX 75904-3108 - Phone
- (936) 632-2107
- Fax
- (936) 632-2108
- NPI assigned
- Apr 10, 2012
- 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 | 1215063 | TX | Primary |
Addresses
Primary practice location
402 S John Redditt Dr
Lufkin, TX 75904-3108
Mailing address
402 S John Redditt Dr
Lufkin, TX 75904-3108
Phone (936) 632-2107
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1265798797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S JOHN REDDITT DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043108",
"telephone_number": "936-632-2107",
"fax_number": "936-632-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S JOHN REDDITT DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043108",
"telephone_number": "936-632-2107",
"fax_number": "936-632-2108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAYANAN",
"first_name": "CANDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1215063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.