Active NPI
C O R E Physical Therapy Centers
- Specialist
- Malden, MA
National Provider Identifier
1386865855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11243
- Legal business name
- C O R E PHYSICAL THERAPY CENTERS
- Practice address
- 388 Pleasant St
Suite 305
Malden, MA 02148-8143 - Phone
- (781) 388-0012
- Fax
- (781) 388-3312
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth Jean Canoni, PT,DPT,MS
- Title
- Owner
- Phone
- (781) 388-0012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11243 | MA | Primary |
Addresses
Primary practice location
388 Pleasant St
Suite 305
Malden, MA 02148-8143
Mailing address
388 Pleasant St
Suite 305
Malden, MA 02148-8143
Phone (781) 388-0012
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA38236 | Other | MA | HARVARD PROVIDER NUMBER |
| Y61381 | Other | MA | BLUE CROSS GROUP NUMBER |
| 3841105 | Other | MA | AETNA HMO NUMBER |
| 7703674 | Other | MA | AETNA PIN NUMBER |
| 820774 | Other | MA | TUFTS GROUP NUMBER |
Other names 1
- Canoni Corp
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430179200000",
"number": "1386865855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 PLEASANT ST",
"address_2": "SUITE 305",
"city": "MALDEN",
"state": "MA",
"postal_code": "021488143",
"telephone_number": "781-388-0012",
"fax_number": "781-388-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 PLEASANT ST",
"address_2": "SUITE 305",
"city": "MALDEN",
"state": "MA",
"postal_code": "021488143",
"telephone_number": "781-388-0012",
"fax_number": "781-388-3312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C O R E PHYSICAL THERAPY CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2015-04-28",
"status": "A",
"authorized_official_last_name": "CANONI",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-388-0012",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT,DPT,MS"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "11243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PROVIDER NUMBER",
"identifier": "AA38236",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "Y61381",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO NUMBER",
"identifier": "3841105",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN NUMBER",
"identifier": "7703674",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP NUMBER",
"identifier": "820774",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Canoni Corp",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.