Joanna McCandlish

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0013352 Issued in CO

Practice address

2726 Bruchez Pkwy Unit 204
Westminster, CO 80234-3583

Phone

(757) 784-6459

NPI assigned

Dec 20, 2015

Last updated

Dec 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450569600000",
    "number": "1295190155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 BRUCHEZ PKWY UNIT 204",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343583",
            "telephone_number": "757-784-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 BRUCHEZ PKWY UNIT 204",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343583",
            "telephone_number": "757-784-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANDLISH",
        "first_name": "JOANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-20",
        "last_updated": "2015-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0013352",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S McAninch, MD
• Jane McAskill
• Jackson Perry McCabe, MSW
• Cara McCallum, DDS
• Carmell Caprice McCandless, AU.D.
• Annette McCann
• Elaine Kim McCarty, AUD
• Laura McClave
• Debra L McClelland
• Kelsi McClure, DC

• Physical Therapy Assistant in Westminster, CO
• Providers in Westminster, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2015; 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.