Active NPI
Erik M Canavan, PT
- Physical Therapist
- Liverpool, NY
National Provider Identifier
1356303077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0172401
- Practice address
- 8390 Oswego Road
Liverpool, NY 13090-1002 - Phone
- (315) 652-4323
- Fax
- (315) 622-1110
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0172401 | NY | Primary |
Addresses
Primary practice location
8390 Oswego Road
Liverpool, NY 13090-1002
Mailing address
8390 Oswego Road
Liverpool, NY 13090-1002
Phone (315) 652-4323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02102770 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1054 James St
Syracuse, NY 13203-2749
Phone (315) 422-2912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017240 | NY | MD | Mental Health Counselor |
| 17240 | NY | MD | Case Manager/Care Coordinator |
| 0172401 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
4136 State Route 31
Clay, NY 13041
1054 James St
Syracuse, NY 13203
Phone (315) 422-2912
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.
-
- Physical Therapist
- Syracuse, NY
- NPI 1720082464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356303077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 OSWEGO ROAD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901002",
"telephone_number": "315-652-4323",
"fax_number": "315-622-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8390 OSWEGO ROAD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901002",
"telephone_number": "315-652-4323",
"fax_number": "315-622-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAVAN",
"first_name": "ERIK",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0172401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02102770",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
- Joseph Cambareri, MD
- Adrienne M Camber, LPN
- Suzi Campanaro, DPM
- Vincent Stephen Campanino, DDS
- Nichole Adelle Campbell, M.A., L.M.H.C.
- Aaliyah D Cappetta
- Cardiovascular Specialists of Central New York PLLC (SJH Cardiology Associates)
- Care Fare LLC
- Carey & Daley Physical Therapy PC
- Paula M Carey Martens, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.